Corpus luteum hemorrhage in a patient with aplastic anemia
Article first published online: 28 MAY 2012
© 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology
Journal of Obstetrics and Gynaecology Research
Volume 39, Issue 1, pages 399–401, January 2013
How to Cite
Sun, W.-C., Li, W., Chen, Q.-H. and Tong, J.-Y. (2013), Corpus luteum hemorrhage in a patient with aplastic anemia. Journal of Obstetrics and Gynaecology Research, 39: 399–401. doi: 10.1111/j.1447-0756.2012.01895.x
- Issue published online: 7 JAN 2013
- Article first published online: 28 MAY 2012
- Received: December 13 2011.; Accepted: February 6 2012.
- aplastic anemia;
- corpus luteum;
- ovarian disease
Corpus luteum hemorrhage may lead to a life-threatening intraperitoneal hemorrhage in women with bleeding disorders. A 17-year-old girl with aplastic anemia presented to the emergency ward with complaints of severe abdominal pain for the last 24 h. On examination, she was noted to be pale with circulatory compromise. Transabdominal pelvic ultrasonography revealed a left complex adnexal mass, 6.9 × 5.1 × 5.1 cm3 in size, with a large anechoic area of fluid in the abdomen. On laparoscopic exploration, there was a massive hemoperitoneum (2.6 L) with a ruptured corpus luteum on the surface of the left ovary. Hemostatic electric coagulation was successfully applied to the bleeding surface. The patient recovered without incident and was transferred to a special hospital for blood disease treatment one week after surgery. We concluded that corpus luteum hemorrhage in women with aplastic anemia can cause therapeutic difficulties. Laparoscopy is feasible for the management of a massive intraperitoneal hemorrhage secondary to a ruptured corpus luteum in such patients.