Corpus luteum haemorrhage in patients on oral anticoagulants in a tertiary care centre North Karnataka: a case series

Abstract

Ruptured corpus luteal cyst with hemoperitoneum in patients on anticoagulants for medical condition is a life threatening situation. Management depends on the presentation and hemodynamic stability of the patient. In this case series 5 cases presented with complaints of acute pain abdomen and distention with hemoperitoneum with deranged coagulation profile between day 16 – day 25 of their menstrual cycles. Emergency laparotomy was performed after resuscitation with blood and blood products. Relaparotomy was done in 2 cases for recurrence of complaints. Discharged was given with normalized coagulation profile and on adjusted dose of anticoagulants.

Keywords

• anticoagulants
• corpus luteum
• hemoperitoneum