Vol. 4, Issue 3 (2018)
Analysis of cases of rupture corpus luteum with hemoperitoneum in females-A clinical study
Author(s): Jyoti Rana
Abstract: Background: Corpus luteum rupture resulting in hemoperitoneum is a rare clinical entity with an increased likelihood of rupture during pregnancy likely due to the increase in corpus luteum cysts in pregnancy. The present study was conducted to evaluate the cases of ruptured corpus luteum in females. Materials & Methods: The present study was conducted in the department of Gynaecology & Obstetrics. It included 34 cases of ruptured corpus luteum. All were informed regarding the study and written consent was obtained. Ethical clearance was taken from institutional ethical committee. Features such as parity, nausea, vomiting, day of menstrual cycle was recorded. Urine pregnancy test was performed. USG was performed in all cases. Results: Patients with <20 years were 7, 20-30 years were 21 and 31-40 years were 6. Depending on parity, they were nulliparas (17) and mutiparas (17). In < 14 days, pregnancy test was negative in 2 cases, between 15-28 days were 20 negative cases and between 29-60 days were 8 negative cases and 2 positive cases and > 60 days were 2 positive cases. On right side, wedge resection was performed in 9 cases and suturing of bleeding edges was done in 7 cases. On left side, wedge resection was performed in 6 cases and suturing of bleeding edges was done in 12 cases. Conclusion: Ruptured corpus luteum is not uncommon among females. Careful examination is required to rule out the possibility of corpus luteum cyst.