Corpus Luteal Cyst Rupture – Case Report and Review of Literature

Abstract

Background: Corpus luteal cyst rupture is one of the common cause of spontaneous hemoperitoneum. Here in we describe a case of hemoperitoneum from a ruptured hemorrhagic corpus luteum in a woman who had come for subfertility work up in our hospital. USG is the first imaging modality due to its high sensitivity and easy availability. Serum βhCG-levels is necessary to differentiate ruptured corpus luteal cyst from ruptured ectopic pregnancy, which has a similar presentation. When the patient is hemodynamically stable without undue fall of hemoglobin values conservative management can be taken up. If diagnosis is doubtful and patients condition is deterioting, laparotomy /laparoscopy may be undertaken for confirmation and treating the cause immediately. Case Summary: Here in we describe a case of hemoperitoneum from a ruptured hemorrhagic corpus luteum in a woman who had come for subfertility work up in our hospital. Conclusion: Though corpus luteal cyst and its rupture are common differential in literature for hemoperitoneum, case reports or protocols for corpus luteal cyst management is lacking. The treating physician is always confused whether to definitely open up the patient for surgery  or not. This case report also reviews the available literature on corpus luteal cyst rupture.