Ruptured Corpus Luteum with Hemoperitoneum in Early Pregnancy

We present a 24-year-old woman with a positive ß HCG at 5 weeks and 4 days with acute post-coital lower abdominal pain. Imaging revealed acute intra - abdominal bleeding and no intra-or extra uterine fetal sac present, We considered both ruptured ectopic pregnancy and ovarian hemorrhage – recognising that differentiation is difficult. At emer gency laparoscopy (Figure 1), the enlarged left ovary was actively bleeding, and luteal rupture with hemorrhage was diagnosed. Intraperitoneal lavage was performed, and hemostasis was achieved using bipolar coagulation and hemostatic agents (SURGICEL® Powder Absorbable Hemostat; Ethicon Endo-Surger y, Cincinnati, OH, USA).

Source: The Journal of Minimally Invasive Gynecology - November 12, 2022 Category: OBGYN Authors: Masafumi Katakura, Yu Suzuki, Tadashi Namihira, Masahiro Ezawa, Takamasa Furukawa, Masahito Nakakuma Tags: Images in Gynecologic Surgery Source Type: research