Intra-abdominal ovarian hemorrhage of abnormal amount is a clinical entity encountered not infrequently. The increasing number of case reports in the past decade emphasizes the importance of considering this condition in differential diagnosis. Ectopic pregnancy is many times correctly diagnosed but practically the same picture may occur from hemorrhage of a follicular cyst or a cyst of the corpus luteum. The massive hemorrhages from cysts are usually classified as ruptured ectopic pregnancies, whereas the moderate hemorrhages, if occurring on the right side, are often mistaken for acute appendicitis. A series of four cases, in one of which there was massive intra-abdominal hemorrhage, furnished a stimulus to gather together the existing facts on this condition.
Phaneuf,1 following an experience with three cases, thoroughly reviewed the literature from 1900 to 1924. He found a total of fifty-nine cases reported, of which twenty were follicular cysts, twenty-two cysts of the corpus luteum,
MILLER HP. CYSTS OF GRAAFIAN FOLLICLE AND CORPUS LUTEUM: AS A CAUSE OF INTRA-ABDOMINAL HEMORRHAGE: FOUR CASES. JAMA. 1931;96(19):1569–1571. doi:10.1001/jama.1931.02720450011005
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