Corpus luteum rupture mimicking acute appendicitis

Abstract

Acute abdomen is a common presentation in women in the reproductive age. It may be caused by diverse conditions. The case below presented with  classical signs and symptoms of appendicitis. Haemoperitoneum seen at laparotomy suggested a diagnosis of ectopic pregnancy .The diagnosis of  ruptured corpus luteum cyst (RCLC) was made only after histology. The symptoms, signs and diagnosis of RCLC are discussed. The case highlights the  need for circumspection in the diagnosis of the cause of acute abdomen. The current trend favours conservative management of RCLC thus the need  for a high index of suspicion is emphasized to avoid unnecessary surgery.