Ruptured corpus luteum cyst

Case contributed by Dr Maulik S Patel

Presentation

Amenorrhoea of 5 wks 3 days . Lower abdominal pain - 1 day.

Patient Data

Age: about 25 yrs
Gender: Female
Modality: Ultrasound

Minimal fluid in endometrial canal. Freel fluid with echoes in pelvis.

Right ovary - a simple cyst and a haemorrhagic partially collapsed cyst.

Left ovary - normal.

No adnexal extra-ovarian lesion noted.

UPT - negative. Serum Beta HCG - < 2.00 mIU/ml. Following study done after one day

Modality: Ultrasound

Regression in free fluid volume.

Right ovary - a simple cyst and a haemorrhagic cyst.

Case Discussion

Right ovarian partially collapsed haemorrhagic cyst with haemoperitoneum and absence of  extra-ovarian lesion favours ruptured corpus luteal cyst.

Negative urine pregnency test and low serum Beta HCG rule out pregnancy.

1 day follow up shows reduction in free fluid and increase the size of the haemorrhagic cyst.

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Case Information

rID: 27559
Case created: 8th Feb 2014
Last edited: 18th Dec 2015
System: Gynaecology
Inclusion in quiz mode: Included

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