The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture

Abstract The aim of the study was to determine the risk factors for surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. A retrospective review of medical records of 155 patients diagnosed with hemoperitoneum caused by corpus luteum cyst rupture was conducted between January...

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Autores principales: Mi Ju Kim, Hyun Mi Kim, Won Joon Seong
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:52dd6d4b760443e89a8498723283df892021-12-02T18:33:47ZThe predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture10.1038/s41598-021-97214-62045-2322https://doaj.org/article/52dd6d4b760443e89a8498723283df892021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97214-6https://doaj.org/toc/2045-2322Abstract The aim of the study was to determine the risk factors for surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. A retrospective review of medical records of 155 patients diagnosed with hemoperitoneum caused by corpus luteum cyst rupture was conducted between January 2010 and March 2015. The patients were divided into two groups: surgical and conservative management. The differences in characteristics between the two groups were compared. The indicators that determine the need of a surgery at the initial visit were also compared between the two groups. Initial hemoglobin level was lower (11.3 ± 1.4 g/dL vs. 12.2 ± 1.2 g/dL; p = 0.007) in the surgery group. There were significant differences in posterior cul-de-sac (PCDS) fluid collection depth (6.2 ± 2.5 cm vs. 4.5 ± 1.6 cm, p = 0.000), total fluid collection depth (8.4 ± 1.8 cm vs. 6.5 ± 2.1 cm, p = 0.000), single deepest pocket depth (6.7 ± 2.2 cm vs. 5.1 ± 1.5 cm, p = 0.006), liver-dome fluid (78.9% vs. 35.6%; p = 0.002), and estimated intrapelvic bleeding amount (325 ± 250 cc vs. 206 ± 146.5 cc, p = 0.002). The extravasation over grade 2 was more often in surgery group (68.4% vs. 30.1%; p = 0.001). PCDS fluid collection depth, the presence of liver-dome fluid, and the severity of contrast extravasation through ultrasonography and computed tomography are good indicators for determining the management of hemoperitoneum resulting from corpus luteum cyst rupture in healthy women.Mi Ju KimHyun Mi KimWon Joon SeongNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Mi Ju Kim
Hyun Mi Kim
Won Joon Seong
The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture
description Abstract The aim of the study was to determine the risk factors for surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. A retrospective review of medical records of 155 patients diagnosed with hemoperitoneum caused by corpus luteum cyst rupture was conducted between January 2010 and March 2015. The patients were divided into two groups: surgical and conservative management. The differences in characteristics between the two groups were compared. The indicators that determine the need of a surgery at the initial visit were also compared between the two groups. Initial hemoglobin level was lower (11.3 ± 1.4 g/dL vs. 12.2 ± 1.2 g/dL; p = 0.007) in the surgery group. There were significant differences in posterior cul-de-sac (PCDS) fluid collection depth (6.2 ± 2.5 cm vs. 4.5 ± 1.6 cm, p = 0.000), total fluid collection depth (8.4 ± 1.8 cm vs. 6.5 ± 2.1 cm, p = 0.000), single deepest pocket depth (6.7 ± 2.2 cm vs. 5.1 ± 1.5 cm, p = 0.006), liver-dome fluid (78.9% vs. 35.6%; p = 0.002), and estimated intrapelvic bleeding amount (325 ± 250 cc vs. 206 ± 146.5 cc, p = 0.002). The extravasation over grade 2 was more often in surgery group (68.4% vs. 30.1%; p = 0.001). PCDS fluid collection depth, the presence of liver-dome fluid, and the severity of contrast extravasation through ultrasonography and computed tomography are good indicators for determining the management of hemoperitoneum resulting from corpus luteum cyst rupture in healthy women.
format article
author Mi Ju Kim
Hyun Mi Kim
Won Joon Seong
author_facet Mi Ju Kim
Hyun Mi Kim
Won Joon Seong
author_sort Mi Ju Kim
title The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture
title_short The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture
title_full The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture
title_fullStr The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture
title_full_unstemmed The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture
title_sort predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/52dd6d4b760443e89a8498723283df89
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