Identifying corpus luteum rupture as the culprit for haemoperitoneum
- Resource Type
- Authors
- Vishnu Prasad Pulappadi; Pritviraj Sk; Smita Manchanda; Smriti Hari
- Source
- Br J Radiol
- Subject
- medicine.medical_specialty
endocrine system
Reproductive age
Pictorial Review
Culprit
Multimodal Imaging
030218 nuclear medicine & medical imaging
Diagnosis, Differential
03 medical and health sciences
0302 clinical medicine
Corpus Luteum
medicine
Humans
Radiology, Nuclear Medicine and imaging
Ultrasonography
Abdomen, Acute
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
Rupture, Spontaneous
business.industry
Pelvic pain
Magnetic resonance imaging
General Medicine
Surgical procedures
Magnetic Resonance Imaging
medicine.anatomical_structure
Acute abdomen
Hemoperitoneum
Abdomen
Female
Radiology
medicine.symptom
business
Tomography, X-Ray Computed
Corpus luteum
- Language
- ISSN
- 1748-880X
Corpus luteum rupture presenting as acute abdomen is an underdiagnosed condition. Though a self-limiting entity, its differentiation from other causes is essential to prevent unnecessary surgical procedures. The radiologist should be aware of the possibility of a ruptured haemorrhagic ovarian cyst in a female of reproductive age group presenting with pelvic pain and a large amount of haemorrhagic ascites. Imaging characteristically reveals a thick-walled cystic structure in the adnexa with internal echoes, focal discontinuity or irregularity of its wall with haemoperitoneum. While sonography is usually indicative of corpus luteum rupture, cross-sectional imaging (CT/MRI) can be used to confirm the diagnosis.