Chronic myeloid leukemia presenting as spontaneous hemoperitoneum at diagnosis in an adolescent girl: A case report with review of literature

Abstract

Spontaneous hemoperitoneum as an initial presentation of chronic myeloid leukemia (CML) is rare and however if that occurs it is usually due to splenic hemorrhage. Corpus luteal hemorrhage which is common in child bearing women is a rare etiology of spontaneous hemoperitoneum in CML and it is rare in adolescent girls. We report an adolescent girl with CML presented with corpus luteal hemorrhage causing hemoperitoneum which to our best knowledge has never been reported before in literature. She was managed conservatively for hemoperitoneum and imatinib for CML. She is well with 1 year of follow-up now.

Keywords

• Chronic myeloid leukemia
• corpus luteal hemorrhage
• spontaneous hemoperitoneum