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https://doi.org/10.20471/acc.2018.57.04.24

Management of Ruptured Corpus Luteum with Hemoperitoneum in Early Pregnancy – a Case Report

Renato Bauman orcid.org/0000-0002-5246-8751 ; Rotunda IVF, Parnell Square, Dublin, Ireland
Gordana Horvat ; Department of Gynecology and Obstetrics, Sveti Duh University Hospital, Zagreb, Croatia

Abstract

Rupture of the corpus luteum is a frequent condition in women of reproductive age. Because of abdominal pain accompanied by hemoperitoneum, ruptured corpus luteum can easily be confused with ectopic pregnancy. The management of ruptured corpus luteum depends on the symptoms and laboratory findings, and can be just observation but laparoscopy or urgent laparotomy may also be needed. Although rare, hemoperitoneum following rupture of corpus luteum in early pregnancy should always be considered in the diagnostic process. We present a patient that was admitted to our department with amenorrhea, positive ßhCG and acute abdomen. Emergency laparoscopy was performed but no ectopic pregnancy was found, just blood, coagula and a ruptured corpus luteum. The day after the surgery, intrauterine pregnancy was found on ultrasound and the pregnancy ended with term delivery.

Keywords

Pregnancy; Corpus luteum; Hemoperitoneum; Laparoscopy; Abdominal pain; Pregnancy, ectopic

Hrčak ID:

217861

URI

https://hrcak.srce.hr/217861

Publication date:

1.12.2018.

Article data in other languages: croatian

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