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Hemorrhagic Corpus Luteum With Generalized Abdominal Pain in Patients With Idiopathic Thrombocytopenic Purpura
- Source :
- Razavi International Journal of Medicine. 4
- Publication Year :
- 2016
- Publisher :
- Kowsar Medical Institute, 2016.
-
Abstract
- Introduction: Idiopathic thrombocytopenic purpura is a platelet autoimmune hemostatic disorder. In this study, an ITP case with abdominal signs and hemorrhagic corpus luteum is presented.Case Presentation: The patient is a 28-year-old nonpregnant woman admitted to ED for constant acute abdominal pain, accompanied by nausea and vomiting. ITP was the prominent disease in her medical history which had been treated by corticosteroids. On physical examination, the patient had stable vital signs. Important paraclinic results were hemoglobin 8 g/dL and platelet count (7000 per microliter). Free fluid was reported in primary trans-abdominal sonography and CT scan. Finally, hemorrhagic corpus luteum was diagnosed in further radiologic studies.Conclusions: Hemorrhagic corpus luteum is known to simulate a number of medical, surgical and gynecological conditions that cause acute abdomen. Sometimes it may have unusual presentations. Moreover, hemorrhagic corpus luteum (cysts) is not always identified during sonography and their diagnosis is often challenging as a result of variations in their size, the thickness of cyst wall, and internal echo pattern. As such, it is suggested to consider both internal and gynecologic spontaneous hemorrhages even in controlled ITP and more attention is paid to gynecologic disorders in abdominal pain management.
- Subjects :
- 030203 arthritis & rheumatology
endocrine system
medicine.medical_specialty
Abdominal pain
medicine.diagnostic_test
business.industry
Nausea
Physical examination
General Medicine
030204 cardiovascular system & hematology
medicine.disease
Thrombocytopenic purpura
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Acute abdomen
medicine
Vomiting
Medical history
medicine.symptom
business
Corpus luteum
Subjects
Details
- ISSN :
- 23456434 and 23456426
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- Razavi International Journal of Medicine
- Accession number :
- edsair.doi...........319909c2ed5215439dd93692dbc607a3