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Hemoperitoneum from Corpus Luteal Cyst Rupture: A Practical Approach in Emergency Room

Authors :
Fiaschetti, Valeria
Ricci, Aurora
Scarano, Angela Lia
Liberto, Valeria
Citraro, Daniele
Arduini, Silvia
Sorrenti, Giuseppe
Simonetti, Giovanni
Source :
Case Reports in Emergency Medicine.
Publication Year :
2014
Publisher :
Hindawi Publishing Corporation, 2014.

Abstract

Corpus luteum cyst rupture with consequent hemoperitoneum is a common disorder in women in their reproductive age. This condition should be promptly recognized and treated because a delayed diagnosis may significantly reduce women’s fertility and intra-abdominal bleeding may be life-threatening. Many imaging modalities play a key role in the diagnosis of acute pelvic pain from gynecological causes. Ultrasound study (USS) is usually the first imaging technique for initial evaluation. USS is used to confirm or to exclude the presence of intraperitoneal fluid but it has some limitations in the identification of the bleeding source. Contrast-enhanced computed tomography (CT) is the imaging modality which could be used in the acute setting in order to recognize gynecological emergencies and to establish a correct management. Magnetic resonance imaging (MRI) nowadays is the most useful technique for studying the pelvis but its low availability and the long acquisition time of the images limit its usefulness in characterization of acute gynecological complications. We report a case of a young patient with hemoperitoneum from hemorrhagic corpus luteum correctly identified by transabdominal USS and contrast-enhanced CT.

Subjects

Subjects :
Article Subject

Details

Language :
English
ISSN :
2090648X
Database :
OpenAIRE
Journal :
Case Reports in Emergency Medicine
Accession number :
edsair.hindawi.publ..baaad3fbe04499025affdaf9af82f731
Full Text :
https://doi.org/10.1155/2014/252657