MASSIVE HEMOPERITONEUM LAPAROTOMY FOR SAFE SPLEEN DIAGNOSES A RUPTURED OVARIAN CYSTIN WOMAN WITH ANTITHROMBOTIC TREATMENT: CASE REPORT AND LITERATURE REVIEW

Ruptured corpus luteum cyst is not exceptional finding in women of the reproductive age, but spontaneous massive hemoperitoneum secondary to ruptured corpus luteum cyst in women on anticoagulants is unusual.We hereby report successful management of massive hemoperitoneum wrongly attributed to a splenic lesion. The diagnosis was corrected, in favor of ruptured luteinic cyst, during laparotomy conservative approach. This case report discusses the diagnostic problem and gives a practical example of a trap in front of a spontaneous hemoperitoneum in the context of antithrombotic treatment, and may provides value addition to explorative laparoscopy regarding emerging conservative approach.