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WOMAN 33 YO, ACUTE
LEFT PELVIC PAIN, ULTRASOUND EMERGENCY SHOWED NORMAL
SIZE OF UTERUS, ENDOMETRIUM IN MIDDLE OF MENSTRUAL CYCLE, AND HAVING A
LOT OF FLUID AND BLOOD ARROUND UTERUS TO MORRISSON'S SPACE OF ABDOMEN.
IT WAS A CASE OF HEMOPERITONEUM.
ULTRASOUND
DETECTED ONE ROUND MASS AT LEFT PELVIS WHICH WAS SUSPECTED AN OVARY CYST WITH SIZE OF 4
CM.
PUNCTION OF ABDOMEN AT RIGHT ILIAC FOSSA REMOVED OLD
BLOOD.
BLOOD TESTS WERE NORMAL BETA HCG, Hct 21%, NORMAL AMYLASEMIA.
MSCT WITH CE DETECTED 2 MASSES BOTH 2 SIDES RIGHT
AND LEFT UTERUS; THE LEFT ONE WAS
VERY QUICK CE ENHANCED IN COMPARISON TO THE RIGHT ONE
NON-CE ENHANCE.
Patient was in admission of emergency of surgery hospital.
After receiving of 2 units of blood transfusion, the vital status was stable.
Follow- up by ultrasound one week later the blood clot in pelvis was not rising but not dissolved. Laparoscopic surgery for washer this blood and detected right ovary was normal, while left ovary had ruptured one cyst but already stop bleeding.
Report of surgeon was rupture of luteinic corpus with blood loss more than 2,000 ml-- a severe case of internal bleeding.
After receiving of 2 units of blood transfusion, the vital status was stable.
Follow- up by ultrasound one week later the blood clot in pelvis was not rising but not dissolved. Laparoscopic surgery for washer this blood and detected right ovary was normal, while left ovary had ruptured one cyst but already stop bleeding.
Report of surgeon was rupture of luteinic corpus with blood loss more than 2,000 ml-- a severe case of internal bleeding.
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