Hemorrhagic Corpus Luteum Cyst Torsion in Term Pregnancy: A Case Report

足月妊娠合併出血性卵巢黃體囊腫扭轉－病例報告

黃寶慧(Pao-Hui Huang) ； 蔡坤寶(Kun-Bow Tsai) ； 蔡英美(Eing-Mei Tsai) ； 蘇鈞煌(Jinu-Huang Su)

《The Kaohsiung Journal of Medical Sciences》 19卷2期 (2003/02) Pp. 75-78

https://doi.org/10.6452/KJMS.200302.0075

摘要

在妊娠時，發生於子宮附屬器官如卵巢、輸卵管等扭轉，進而引起卵巢破裂及腹腔出血，造成母親及胎兒致死之原因是相當罕見的。大多數患者呈現劇烈腹痛，繼而導致母親休克及胎死腹中。一般而言，懷孕週數愈大，子宮發展愈大，子宮體附器官之正確定位也愈困難。本文中報告一位三十五歲足月生產女性，因急劇下腹疼痛至本院急診求診，超音波下除偵測到無胎兒心跳外，並無任何異常發現，經緊急手術後發現此為一相當罕見病例，經由診斷確立為足月妊娠合併出血性卵巢黃體囊腫扭轉。

關鍵字

出血性卵巢黃體囊腫扭轉 ； 足月妊娠

並列摘要

Hemoperitoneum during pregnancy resulting form spontaneous rupture of adnexal torsion is a rare cause of fetal and maternal death. Presenting symptoms include severe abdominal pain, followed rapidly by maternal shock and fetal distress. It is hard to localize the adnexae in advanced pregnancy .Here, we present a case of spontaneous rupture of hemorrhagic corpus luteum cyst torsion that had not been previously diagnosed by ultrasound during term pregnancy .The patient was sent to our emergency room for sudden onset of severe low abdominal pain .Treatment consists of maintenance of adequate circulating entravascular volume and rapid surgical intervention. Preoperative diagnosis of adnexal torsion during term pregnancy is very difficult, although it is always identified during surgery.

並列關鍵字

hemorrhagic corpus luteum ； cyst torsion ； term pregnancy