In conclusion, although extremely rare, rupture of corpus luteum in early pregnancy with hemoperitoneum
can cause acute abdomen that mimics rupture of ectopic pregnancy.
A laparotomy was urgently arranged which revealed the presence of around three liters of hemoperitoneum
along with a viable pregnancy in the POD, which was removed intact [Figure 2].
after large volume paracentesis.
and abdominal compartment syndrome due to intraperitoneal femoral venous catheter.
Once the patient was stable enough to obtain a CT scan, she was found to have a large, ruptured 5.8cm abdominal aortic aneurysm with active extravasation (Figures 1 and 2), extensive hemoperitoneum
, and a large left-sided retroperitoneal hematoma (Figures 3 and 4).
On the same day, an exploratory laparotomy was executed, finding hemoperitoneum
of 2,000 mL caused by bleeding of the right lobe of the liver.
A CT mesenteric angiogram showed a large volume hemoperitoneum
and active contrast extravasation in the region of the greater omentum (Figures 1(a) and 1(b)).
At autopsy, there was a large hemoperitoneum
surrounding her liver secondary to the second biopsy, which was identified as the immediate cause of death.
There was active extravasation below the inferior aspect of the spleen which appeared to be the etiology for the large volume of hemoperitoneum
(Figures 2 and 3).
Surgical findings included a breach running horizontally through the entire anterior wall of the uterus (Figure 1(c)), a moderate quantity of hemoperitoneum
, while the fetus had turned so that the left shoulder was facing the abdominal cavity.
Entire bowel was explored and this revealed an ulcerated lesion measuring 7 x 5 cm arising from the antimesenteric border of the ileum 8 feet (2.5 m) from ICJ with localized interloop hemoperitoneum
and inflammatory exudates as shown in Figure 1.
Ultrasonography showed increased size of mass, and computed tomography (CT) showed hemoperitoneum
. Magnetic resonance imaging showed perihepatic hematoma.