“Doctor, my left stomach hurts badly…”
A week ago, 20-year-old Miss Bai rushed to Zhejiang Provincial Tongde Hospital. After examination, she was diagnosed with ruptured ovarian corpus luteum and was admitted to the gynecological ward.
Ms. Bai had read news reports before that women may rupture the corpus luteum during sex. “I haven’t talked about my boyfriend yet, and I have no sex life experience. How can I get this gynecological disease?”
In fact, the reason for the rupture of Miss Bai’s corpus luteum was due to an unspoken one of her— -constipate. Every time she has a bowel movement, she has to work hard to solve the problem.
A week ago, Ms. Bai experienced severe and unbearable pain in her lower abdomen after she defecation forcefully, and she also had nausea and vomiting. She tried to relieve her bowel movements but could not. Therefore, accompanied by a roommate, I came to the Emergency Medicine Department of Zhejiang Provincial Tongde Hospital for treatment.
The doctor’s examination found that the blood routine showed that the hemoglobin was only 95g/L. B-ultrasound found a large mass of 8 × 5 cm in the abdomen, and there were a lot of liquid dark areas in the pelvic and abdominal cavity. At this time, Miss Bai’s heart rate gradually increased to 102 beats/min. The emergency medicine doctor first considered the rupture of the ovarian corpus luteum, and immediately asked a gynecologist to come for consultation.
The gynecologist performed emergency laparoscopic exploration. During the operation, it was found that the free blood and blood clots in the pelvis and abdomen were about 1500ml, and there was a 1.0×1.0cm rupture in the left ovary, and the active bleeding was obvious. In an emergency, the gynecologist immediately repaired the ovarian rupture, cleaned up the accumulated blood, and flushed the pelvic and abdominal cavity. Fortunately, the operation was timely, and Ms. Bai’s condition was stable after the operation, and she was discharged from the hospital on the 4th day.
So, how could Miss Bai, who has never had sex, suffer from ovarian corpus luteum rupture?
Ovarian corpus luteum rupture is one of the common acute abdomens in gynecology, and corpus luteum or corpus luteum cyst will form after the ovary ovulates every month. When the intra-abdominal pressure suddenly rises when strenuous activity, impact on the lower abdomen, forceful defecation, lifting heavy objects, etc., the ovarian corpus luteum or corpus luteum cyst can rupture, resulting in bleeding. It can cause pain in the lower abdomen, which may be accompanied by nausea, vomiting, and frequent bowel movements. In severe cases, shock and even life-threatening consequences may occur due to excessive blood loss.