Corpus Luteum Cyst Rupture Workup
- Author: Charles J Ascher-Walsh, MD; Chief Editor: Richard Scott Lucidi, MD more...
Approach Considerations
Perform a urine pregnancy test. If the pregnancy test is positive, make sure to rule out an ectopic pregnancy. Rule out ovarian torsion before discharge. If a diagnosis of ruptured corpus luteum is considered, make sure the hemoglobin level is stable before discharging the patient home.
Perform a diagnostic laparoscopy and/or laparotomy if the patient is hemodynamically unstable.
Lab Studies
Monitor the hematocrit (serially, if necessary) to ensure that there is no continued bleeding. Serum or urine pregnancy testing should be obtained. In the case of a positive result, the patient should be evaluated for ectopic pregnancy.
Blood type and crossmatch are indicated in patients with peritoneal signs or hemodynamic instability, because such patients may require surgical intervention or blood transfusion. Urinalysis should be obtained to identify a possible urinary tract infection or renal or bladder stones. Blood, urine, and cervical cultures may also be indicated in patients with concomitant fever to rule out pelvic or urinary tract infections.
Imaging Studies
Pelvic ultrasonography is the best imaging study to determine the amount of abdominal bleeding. Obtain other imaging studies to exclude other diagnoses. Computed tomography features of corpus luteum cysts have also been described.[5, 6] Although commonly performed in the past, culdocentesis usually is no longer involved when ultrasonography is available.
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