Corpus luteal cyst rupture presenting as massive spontaneous hemoperitoneum in women with dengue infection: A case series

Rupita Kulshrestha, Neetu Singh, Mona Mishra
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Abstract

Corpus luteal cyst rupture presents with acute pain abdomen, hemoperitoneum and features of shock. The condition clinically closely mimics acute rupture ectopic pregnancy but has negative urine pregnancy test. Massive hemoperitoneum requires urgent surgical exploration and achievement of hemostasis. Here is a case series describing 3 cases of corpus luteal cyst rupture in patients with diagnosed dengue fever presenting with features of acute abdomen with or without shock at emergency. All were managed surgically, did well in postoperative period, had transfusions of blood and blood products and finally discharged in satisfactory condition. The objective of this series is to highlight the importance of this condition as a differential diagnosis in patients with acute abdomen which is not much described in medical literature.
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登革热感染妇女的黄体囊肿破裂表现为大量自发性腹腔积血:病例系列
黄体囊肿破裂表现为急性腹痛、腹腔积血和休克。这种情况在临床上与急性异位妊娠破裂相似,但尿妊娠试验呈阴性。大面积血性腹腔积液需要紧急手术探查并止血。以下是一个病例系列,描述了 3 例黄体囊肿破裂病例,患者均确诊为登革热,急诊时表现为急腹症,伴有或不伴有休克。所有患者均接受了手术治疗,术后情况良好,输血和血制品,最后均满意出院。这组病例的目的是强调该病作为急腹症患者鉴别诊断的重要性,因为医学文献中对该病的描述并不多。
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