育龄妇女出血引起的急性腹痛:一个病例系列

Agnes Indah Nugraheni, Ida Ayu Ratih Wulansari Manuaba, Ida Bagus Putera Manuaba
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摘要

摘要黄体出血是育龄妇女中一种罕见的疾病。在月经周期的后半段,由于血管穿透黄体壁,女性黄体有可能出现无症状出血。很少发生它长得太大然后破裂的情况。那些患有多囊卵巢综合征(PCOS)的人有患上这种疾病的风险。多囊卵巢综合征的特点是身体荷尔蒙功能的炎症,导致卵巢变大,其中还包括许多小的卵泡囊肿。卵巢囊肿的形成是由体内大量的雄激素引起的,它会导致卵巢变大。在少数情况下,这种扩大也有破裂的可能,这是一个额外的关注。临床表现的主要症状是下腹剧痛。由于HCL可能与其他疾病表现相似,因此诊断可能很困难。我们提出并讨论三例年轻女性患者谁提出急性腹痛,大容量腹膜血,贫血。腹腔镜检查均显示出出血性黄体囊肿。
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Acute Abdominal Pain Caused by Hemorrhagic Corpus Lutheum in Reproductive-Aged Women: A Case Series
Hemorrhage of corpus luteum is a rare condition in women of reproductive age. It is possible for a woman's corpus luteum to have asymptomatic hemorrhaging as a result of blood vessel penetration through the wall of the corpus luteum during the second half of her menstrual cycle. There have been very few occurrences of it growing to be too large and then rupturing. Those who suffer from polycystic ovarian syndrome (PCOS) are at risk for developing this condition. Polycystic ovarian syndrome is characterized by an inflammation of the body's hormonal function, which results in the development of larger ovaries that also include a number of small follicular cysts. The development of cysts on the ovaries, which contribute to the appearance of larger ovaries, is brought on by an abundance of androgen hormones in the body.  In a minority of cases, this enlargement also has the potential to rupture, which is an additional concern. The predominant symptom that presented clinically was sharp pain in the lower abdomen. Because to the fact that HCL may present similarly to other conditions, diagnosis might be difficult. We present and discuss three cases of young female patients who presented with acute abdominal pain, large-volume of hemoperitoneum, and anemia. Laparoscopic examination in each case showed a hemorrhagic corpus luteal cyst.
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