DOI: 10.36347/sjmcr.2018.v06i09.011

Pages: 651-652

Acute pelvic pain in a patient with positive Urine pregnancy test and absence of an intra uterine gestational sac prompts the diagnosis of an ectopic pregnancy in most cases. A corpus luteum cyst rupture mimics ectopic pregnancy and the probability of misdiagnosis is high. Here we present a case of ruptured corpus luteal cyst causing massive haemoperitoneum. A 24 years old G3P2 woman with 2 months of amennorhoea came to our emergency department with complaint of acute pain abdomen since two hours. Clinical findings and investigations were consistent with the diagnosis of an ectopic pregnancy. Surgical intervention was done and it was found to be a ruptured corpus luteal haemorrhagic cyst with massive haemoperitoneum. Spontaneous hemoperitoneum is a rare and potentially life-threatening condition that is due to non-traumatic etiology. Gynecological emergencies that present like this in women of childbearing age are ectopic pregnancy, ruptured corpus luteal cyst, uterine rupture, endometriosis, and ruptured hydropyosalpinx. Hence, all causes of acute abdomen should be ruled out for better management of the patient.