Abdomen the PANDORA BOX Luteal Cyst Rupture an Emergency

Abstract

Acute pelvic pain in women of childbearing age is a common and frequent cause for admission to emergency room (ER), necessitating emergent medical evaluation especially when it is due to hemoperitoneum. In this scenario the wide range of differential diagnosis that must be considered when assessing abdominal pain represents an issue for the clinical approach. Sometimes it can be difficult to distinguish gynecological from gastrointestinal and urinary tract emergencies because of overlapping symptoms and signs. Various imaging modalities in association with clinical findings play an important role in the characterization of the cause of pain. Early diagnosis is necessary to preserve the reproductive systems and the life of the patient in severe cases. Hemoperitoneum may occur in the context of various gynecological emergencies in some cases it could be a complication of a ruptured haemorrhagic corpus luteum.