Ruptured corpus luteal cyst

Case contributed by Dr Yair Glick

Presentation

Left lower abdominal pain.

Patient Data

Age: 40 years
Gender: Female
CT

Moderate amount of high-attenuation fluid (nearing 60 HU) in the rectouterine pouch, consistent with haemorrhagic blood. Small amount around the spleen, in the left paracolic gutter, and beneath the liver (attenuation 30-40 HU).

Cyst with a thick, enhancing wall in the left ovary, showing a discontinuity in its wall, highly suggestive of a ruptured corpus luteal cyst.

Case Discussion

Of note, the patient's haemoglobin level was 9.4 g/dL, compared with a baseline of 13 g/dL five years earlier. 

The diagnosis of a ruptured corpus luteal cyst was proved intraoperatively.

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Case information

rID: 55554
Case created: 13th Sep 2017
Last edited: 26th Oct 2017
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Hillel Yaffe Medical Center

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