A case of systemic lupus erythematosus with ruptured corpus luteum.

Kil, Ki Hyun; Kim, Nam Hee; Hur, Sung Eun; Jang, Byung Woo; Lee, Sung Ki; Jung, Chung Il

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(11):1379-1384.
Published online November 1, 2008.

A case of systemic lupus erythematosus with ruptured corpus luteum.

Ki Hyun Kil, Nam Hee Kim, Sung Eun Hur, Byung Woo Jang, Sung Ki Lee, Chung Il Jung

¹Department of Obstetrics and Gynecology, College of Medicine, Konyang University, Daejeon, Korea. bwjang@kyuh.co.kr
²Department of Rheumatology, College of Medicine, Konyang University, Daejeon, Korea.

Abstract

Ruptured corpus luteum can cause massive hemorrhage. Because its symptoms are similar to those of ectopic pregnancy and/or acute appendicitis, its diagnose in early stage is not easy. When massive hemorrhage breaks out, it is reported that operational treatment is required. However, when accompanied with autoimmune disease such as systemic lupus erythematosus (SLE) along with stable vital signs, a conservative treatments such as corticosteroids and immunoglobulins can be carried out. A 23-year-old female presented with lower abdominal pain and diagnosed as intraperitoneal hemorrhage through ultrasonography and CT. Physical examination and laboratory findings also indicated that the patient was carrying systemic lupus erythematosus (SLE). We experienced a case of systemic lupus erythematosus with ruptured corpus lutem which treated with conservative treatments without complications and present it with brief review of literatures.

Key Words: Ruptured corpus luteum, Systemic lupus erythematosus (SLE)