Ruptured Corpus Luteal Cyst Masquerading as Torsion of Ovarian or Dermoid Cyst in a Young Female: A Case Report

Abstract

Shasank Chitrakar, Saroj Babu Aryal, Guddu Sah and Akriti Panthi

One of the most frequent causes of spontaneous hemoperitoneum in women of reproductive age is ruptured corpus luteal cysts. The clinical presentation varies, ranging from complete absence of symptoms to excruciating pain in the abdomen as a result of peritoneal irritation. A 16-year-old female came with the complaint of acute abdomen and vaginal bleeding for one day with irregular cycles and polymenorrhagia. Investigations showed low haemoglobin so two pints of blood were transfused and ultrasonography gave an impression of torsion of the dermoid cyst of the right ovary. An exploratory laparotomy was performed which discovered presence of ruptured corpus luteum. Though common in early pregnancy and misdiagnosed as other ailments, diagnostic tools, abdominal and pelvic exams together with medical imaging are used for diagnosis of the patient for any abdominal ailment. Ruptured Corpus luteal cyst can present with features of torsion of ovarian and dermoid cyst. However, clinical signs and routine imaging (like ultrasound) can mislead the diagnosis.

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