Academic Editor: Michael H. Dahan
Background: The similarities in clinical features between ruptured
corpus luteum cyst (RCLC) with undiagnosed intrauterine pregnancy in the early
first trimester (RCLC-P) and ruptured ovarian pregnancy are well established.
However, the identification of differences between these two morbid conditions is
important to determine the causes and manage the hemoperitoneum without
devastation of pregnancy in RCLC-P. Furthermore, the pregnancy outcomes after
laparoscopic surgery in women with RCLC-P are not recognized. Methods:
Retrospective observational study of six women with RCLC-P and seven women with
ruptured ovarian pregnancy. Results: All cases were referred under
strong suspicion of ruptured ectopic pregnancy due to lower abdominal pain and
positive urinary pregnancy test after spontaneous conception. The estimated
median number of gestational weeks in RCLC-P (5 weeks) was significantly lower
than that for ruptured ovarian pregnancy (7 weeks). At triage, the median serum
levels of beta-human chorionic gonadotropin (