Hasan Şahiner, Okan Özkaya, Mekin Sezik, Nermin Karahan, Hakan Kaya

Bilateral korpus hemorajikum kist rüptürüne bağlı Akut Batın : Olgu Sunumu

SüleymanDemirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2005 Haziran; 12(2) Bilateral korpus hemorajikum kist rüptürüne bağlı Akut batın: olgu sunumu Hasan Şahiner, Okan Özkaya, Mekin Sezik, Nermin Karahan, Hakan Kaya Özet Korpus hemorajikum kisti corpus luteum veya ovaryan follikül kisti içine kanama olması sonunda oluşur. Birçok hasta asemptomatik olsa da özellikle kist rüptürü sonunda akut batın tablosu gelişebilir. Özellikle antikoagülan kullanan, konjenital kanama diatezi olan veya ovülasyon indüksiyonu yapılan hastalarda reprodüktif dönemleri süresince korpus hemorajikum kist rüptürü sıklığı fazladır. Literatürde şu ana kadar spontan sikluslarda bilateral korpus hemorajikum kist rüptürü vakası bulunmamaktadır Biz bilateral korpus hemorajikum kist rüptürü nedeniyle opere edilen bir hastayı literatür verileri ışığı altında sunduk. Anahtar kelimeler: Korpus hemorajikum kisti, Akut batın, Ultrasonografi Abstract Acute Abdomene due to bilateral corpus hemorragicum cyst rupture: A case report Corpus hemorrhagicum cysts are caused by the bleeding inside the corpus luteum or the ovarian follicle cyst. Although many of the patients are asymptomatic, acute abdomen can happen especially due to the cyst rupture. Corpus hemorragicum cyst rupture is seen frequently in patients on anticoagulant treatment, having hemorrhagic diatheses or taking ovulation induction during their reproductive periods. There are no case reports regarding bilateral corpus hemorrhagicum cyst rupture in the literature up to the present time. In this report, we presented a case of a patient operated with a diagnosis of bilateral corpus hemorrhagicum cyst rupture in the light of the literature. Key words: Corpus hemorrhagicum cyst, Acut abdomen, Ultrasonography

Anahtar Kelimeler:

Korpus hemorajikum kisti, Akut batýn, Ultrasonografi

PDF

___

Nemoto Y, Ishihara K, Sekiya T, Konishi H, Araki T. Ultrasonographic and clinical appearance of hemorrhagic ovarian cyst diagnosed by transvaginal scan. J Nippon Med Sch 2003; 70(3): 243-9.
Ulrich U, Rossmanith WG. Management of peritoneal hemorrhage due to follicle rupture under anticoagulation therapy. J Endocrinol Invest 1994; 17(5): 351-3.
Bottini E, Pareti FI, Mari D, Mannucci P, Muggiasca ML, Conti M. Prevention of hemoperitoneum during ovulation by oral contraceptives in women with type III von Willebrand disease and afibrinogenemia. Case reports. Haematologica 1991; 76(5): 431-3.
Waxman M, Baird GJ. Corpus luteum hemorrhage. Cause of acute abdominal pain in patients receiving anticoagulant therapy. JAMA 1978; 239(21): 2270-1.
Choi HJ, Kim SH, Kim SH, Kim HC, Park CM, Lee HJ, et al. Ruptured corpus luteal cyst: CT findings. Korean J Radiol 2003; 4(1): 42-5.
Takahashi S, Murakami T, Narumi Y, Kurachi H, Tsuda K, Kim T, et al. MRI appearance of ruptured corpus luteum. Radiat Med 1998; 16(6): 487-9.
Baltarowich OH, Kurtz AB, Pasto ME, Rifkin MD, Needleman L, Goldberg BB. The spectrum of sonographic findings in hemorrhagic ovarian cysts. AJR Am J Roentgenol 1987; 148(5): 901-5.
Hertzberg BS, Kliewer MA, Paulson EK. Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Abdom Imaging 1999; 24(3): 304-8.
Teng SW, Tseng JY, Chang CK, Li CT, Chen YJ, Wang PH. Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum. J Am Assoc Gynecol Laparosc 2003; 10(4): 474-7.
Wong KP, Gillett PG. Recurrent hemorrhage from corpus luteum during anticoagulant therapy. Can Med Assoc J 1977; 116(4): 388-90.