Spontaneous massive hemoperitoneum from hemorrhagic corpus luteum cyst as initial presentation of aplastic anemia

Rodrigo B. Interiano,Regan F. Williams,E. Paton,U. Reiss,A. Srinivasan,C. Shephard,E. Huang

Published 2014 in Journal of pediatric surgery case reports

ABSTRACT

Abstract While hemorrhagic ovarian cysts are quite common, rupture leading to spontaneous severe hemoperitoneum is much more rare, and in the setting of an acquired bone marrow failure syndrome, it can be a life-threatening event. We describe a 17-year-old female presenting with syncope, abdominal pain, and large-volume hemoperitoneum, associated with diffuse petechiae and oral purpura, who was found to have a hemorrhagic corpus luteum cyst at laparoscopic exploration. After discharge, the patient re-presented with severe anemia and thrombocytopenia, and was diagnosed with acquired severe aplastic anemia of unknown etiology.

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