Ruptured corpus luteum with large haemoperitoneum

Case contributed by Dr Alexandra Stanislavsky

Presentation

Acute onset left iliac fossa pain.

Patient Data

Age: 30
Gender: Female
Modality: Ultrasound
  • free fluid extending into Morrison's pouch and both paracolic gutters 
  • thick layering of solid material with an "onion skin" appearance enveloping the left ovary and the uterus, in keeping with clotting haematoma
  • prominent low resistance vessel within the left ovary
  • normal right ovary

Case Discussion

Beta HCG was negative.

Overall appearance is of large volume haemorrhage centered on the left ovary, and this is most likely due to a ruptured corpus luteum.  Differential consideration in a pregnant patient would be a ruptured ectopic.

Findings were confirmed intraoperatively. 

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Case Information

rID: 13489
Case created: 17th Apr 2011
Last edited: 9th Jan 2016
System: Gynaecology
Inclusion in quiz mode: Included

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