Hemorrhagic corpus luteum

Discussion:

The two differential diagnoses in this case were an atypical appearance of a ruptured corpus luteum and ovarian torsion. 

A ruptured corpus luteum is the most likely cause for a moderate to large size pelvic hemorrhage in a non pregnant patient. Ovarian torsion however is by far the more critical diagnosis, therefore in this case a laparoscopy was performed to exclude this.

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