Corpus Luteum Cyst Rupture Clinical Presentation
- Author: Charles J Ascher-Walsh, MD; Chief Editor: Richard Scott Lucidi, MD more...
History
The patient often presents with an acute onset of abdominal pain, usually in the second half of the menstrual cycle. The pain often begins during strenuous physical activity, such as exercise or sexual intercourse. Other presenting symptoms may include the following:
- Vaginal bleeding
- Nausea and/or vomiting
- Weakness
- Syncope
- Shoulder tenderness
- Circulatory collapse
Physical Examination
Vital signs are usually within normal range. Physical findings can range from mild unilateral low abdominal tenderness to those of an acute abdomen with severe tenderness, guarding, rebound, and peritoneal signs.[4]
Low-grade fever is sometimes observed, and an adnexal mass may be palpable. Orthostatic changes are consistent with a sizable hemorrhage.
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