The management of gynecological hemoperitoneum found to be associated with a ruptured corpus luteum cyst

Abstract Rupture of a corpus luteum cyst (RCLC) is the major cause of gynecological hemoperitoneum. RCLC is often difficult to diagnose on imaging and a standardized management is not defined. While mild cases of hemoperitoneum associated with RCLC require only observation and support, surgical intervention is necessary for severe cases or if the adnexal cyst in question is concerning for malignancy or torsion. Our study compares the outcomes of patients undergoing conservative and surgical management of gynecological hemoperitoneum found to be associated with RCLC. We performed a retrospective chart review of non-pregnant patients with a diagnosis of hemoperitoneum, corpus luteum cyst rupture, or follicular cyst rupture of the ovary between September 2007 and January 2013. The clinical characteristics, laboratory findings, and radiological findings of the women hospitalized and conservatively monitored or who underwent laparoscopy or laparotomy were reviewed for short-term and long-term adverse outcomes. Data were analyzed using Fisher’s exact test or chi-square test for categorical data and the Mann-Whitney U test for continuous data between the comparison groups. Of 30 women appearing with gynecological hemoperitoneum associated with an adnexal cyst, 5 (17 %) underwent conservative management and 25 (83 %) underwent surgical management including laparotomy (n = 11, 37 %) and laparoscopy (n = 14, 47 %). Patients predominantly presented with pelvi...
Source: Gynecological Surgery - Category: OBGYN Source Type: research