Ovarian cyst rupture

Case contributed by Dr Mate Kover


Diffuse abdominal pain for one day, the maximum point of tenderness in the lower quadrant.

Patient Data

Age: 30 years
Gender: Female

Higher density (35-37 HU) fluid is visible around the liver and much higher density fluid (70-80 HU) seen in the pelvis reflecting a hemoperitoneum. In the left ovary, a high-density lesion is seen, which can be the cause of the bleeding. During the postcontrast slices, active bleeding was not found.

Case Discussion

Young female with diffuse pain and on the CT examination, a hyperdense lesion, possibly a cyst, in the left ovary and blood in the pelvis was found. An alternative possible cause could be an ectopic pregnancy but the laboratory parameters excluded it. Ovarian cyst rupture was suggested as a cause for the hemoperitoneum and is a common cause in non-pregnant young female patients. 

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Case information

rID: 78407
Published: 21st Jul 2020
Last edited: 25th Jul 2020
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Hungarian Defence Forces Medical Center

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