Hakan ÖZDEMİR, Cem YÜCEL, Suna Özhan OKTAR, Devrim KARAOSMANOĞLU

Hemoperitoneum caused by hemorrhagic corpus luteumin a teenager with von-Willebrand's diease: Ultrasonographic findings

Korpus hemorajikuma sekonder hemoperitoneum, von-Willebrand hastalığı bulunan olgularda sık görülmeyen bir bulgudur. Bu olgu yazısında hastaneye akut abdominal ağrı ile başvuran von-Willebrand hastalığı bulunan14 yaşındaki bir kız çocuğu sunulmuştur. Sonografide alt abdominal kadranlarda önemli miktarda sıvı ve sağ adneksde internal septasyonlar ve sıvı-sıvı seviyeleri içeren kompleks kistik lezyon izlenmiştir. Seri sonografik incelemeler, faktör VIII replasman tedavisi sonrası lezyonun hızla gerilediğini göstermiştir. Bu olgu ile, von-Willebrand hastalığı bulunan ergen kızlarda akut abdomenin ayırıcı tanısında düşünülmesi gereken, korpus hemorajikum ve buna sekonder gelişen eden hemoperitoneumun sonografik bulguları sunulmuştur.

Von-Willebrand hastalığını bulunan bir çocukta hemrajik korpus luteum nedeniyle gelişmiş hemoperitoneum: Ultrasonografik bulgular

Hemoperitoneum secondary to corpus hemorrhagicum is an unusual manifestation in patients with von Willebrand’s disease. We report a 14-year-old girl with von Willebrand’s disease who was admitted to hospital with acute abdominal pain. Sonography demonstrated a large amount of free fluid in the lower abdominal quadrants and a complex cystic lesion in the right adnexa, containing internal septations and fluid-fluid level. Serial sonographic examinations showed rapid resolution of the lesion with factor VIII replacement therapy. This case presents sonographic findings of corpus hemorrhagicum and hemoperitoneum that have been rarely documented in previously published cases and should be considered in the differential diagnosis of acute abdomen in teenage girls with von Willebrand’s disease.

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