Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 2 , Pages 108-112, June 2009

Ruptured Corpus Luteum with Hemoperitoneum: Case Characteristics and Demographic Changes Over Time

  • Wen-Kuang Ho

      Affiliations

    • Department of Obstetrics and Gynecology, Kuang-Tien General Hospital, Taichung, Taiwan
    • ,
  • Ya-Fen Wang

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • Department of Nursing, Changhua Christian Hospital, Changhua, Taiwan
    • Co-first author
    • ,
  • Hsin-Hung Wu

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • ,
  • Horng-Der Tsai

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • ,
  • Tze-Ho Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • Department of Genomic Medicine, Changhua Christian Hospital, Changhua, Taiwan
    • ,
  • Ming Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • Department of Genomic Medicine, Changhua Christian Hospital, Changhua, Taiwan
    • Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Ming Chen, Department of Genomic Medicine, Changhua Christian Hospital, Changhua 500, Taiwan

Accepted 31 July 2008.

Article Outline

Summary 

Objective

Women of reproductive age are at risk of ruptured corpus luteum with hemoperitoneum. We identified the clinical and demographic features of patients recently treated in our institution and compared the findings with those from an earlier series, to detect any changes in disease identity that have occurred over the past 20 years.

Materials and Methods

Charts of patients treated between January 2001 and December 2003 at Changhua Christian Hospital were reviewed. Clinical parameters were compared with those from our previous study in the 1980s.

Results

A total of 91 women were diagnosed with ruptured corpus luteum and hemoperitoneum (mean age, 26 years; range, 15–42 years). Most ruptures (60.4%) occurred during the secretory phase and most women (57.1%) reported recent sexual intercourse prior to the onset of pain. Most patients (81.3%) required laparoscopic intervention to achieve hemostasis. No obvious differences were found between the results of this study and those from the 1985 series, except that our patients were younger, were more often unmarried, chose laparoscopic interventions rather than laparotomy, and that there was an emerging trend towards conservative treatment.

Conclusion

The manifestations of corpus luteum hemorrhage in this study were similar to those observed in the 1980s at the same medical center. However, the demographic parameters (age, marital status) and the modalities of treatment (conservative treatment, mode of surgical interventions) had changed in line with the evolution of society, culture, and the progress of medical science over the past 20 years.

Key Words:  corpus luteum hemorrhage , demographics , hemoperitoneum

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References 

  1. Hallett JG , Steele CH , Snyder M . Ruptured corpus luteum with hemoperitoneum: a study of 173 surgical cases . Am J Obstet Gynecol . 1984;149:5–9
  2. Sivanesaratnam V , Singh A , Rachagan SP , Raman S . Intraperitoneal haemorrhage from a ruptured corpus luteum: a cause of “acute abdomen” in women . Med J Aust . 1986;144:411–414
  3. Shiau HR , Shiau HJ , Wu CC . Ruptured corpus luteum with hemoperitoneum: analysis of 72 cases . J Obstet Gynecol ROC . 1985;24:208–213
  4. Droegemueller W . Benign gynecologic lesions . In:  Stenchever MA ,  Droegemueller W ,  Herbst AL ,  Mishell DR editor. Comprehensive Gynecology . 4th edition. St. Louis: Mosby; 2001;p. 506–509
  5. Jiang Y , Cheng Y , Chang X . Sonographic diagnosis of ruptured corpus luteum with hemoperitoneum . Zhongguo Yi Xue Ke Xue Yuan Xue Bao . 1995;17:133–135 [In Chinese]
  6. Hertzberg BS , Kliewer MA , Paulson EK . Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis . Abdom Imaging . 1999;24:304–308
  7. Jain KA . Sonographic spectrum of hemorrhagic ovarian cysts . J Ultrasound Med . 2002;21:879–886
  8. Nemoto Y , Ishihara K , Sekiya T , Konishi H , Araki T . Ultrasonographic and clinical appearance of hemorrhagic ovarian cyst diagnosed by transvaginal scan . J Nippon Med Sch . 2003;70:243–249
  9. Edwards A , Clarke L , Piessens S , Graham E , Shekleton P . Acoustic streaming: a new technique for assessing adnexal cysts . Ultrasound Obstet Gynecol . 2003;22:74–78
  10. Teng SW , Tseng JY , Chang CK , Li CT , Chen YJ , Wang PH . Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum . J Am Assoc Gynecol Laparosc . 2003;10:474–477
  11. Tang LC , Cho HK , Chan SY , Wong VC . Dextropreponderance of corpus luteum rupture: a clinical study . J Reprod Med . 1985;30:764–768

PII: S1028-4559(09)60267-9

doi:10.1016/S1028-4559(09)60267-9

Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 2 , Pages 108-112, June 2009

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