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Abstract: After intercourse, Ms. Tang suddenly felt severe pain in the lower abdomen, accompanied by dizziness and nausea, so she came to the hospital for consultation. The blood HCG result excluded pregnancy, and the preliminary diagnosis was luteal rupture according to the indication of uterine adnexal ultrasound results. Since Ms. Tang’s symptoms were serious, she was recommended to be hospitalized for timely surgical treatment. After laparoscopic luteolysis of ovarian cysts, Ms. Tang’s vital signs were stable and her symptoms disappeared, and the treatment result was good.
Basic information】Female, 25 years old
Type of disease】Ruptured corpus luteum
Hospital】Jinan Hospital of Integrative Medicine
Date of consultation】April 2022
Treatment plan】Surgical treatment (laparoscopic ovarian corpus luteum cyst debridement) + medication (ornidazole injection, compound amino acid injection, sodium lactate ringer injection, tranexamic acid sodium chloride injection)
Treatment period】6 days of hospitalization, follow-up after 1 month
Effectiveness of treatment】Good surgical results, related symptoms disappeared
I. Initial consultation
Ms. Tang reported that she had regular menstruation, her menarche was 14 years old, her period was 4 days, her cycle was 30 days, her menstrual flow was moderate, and she had no dysmenorrhea. On the evening of April 28, after intercourse, she suddenly felt pain in the lower abdomen, followed by dizziness and nausea, and was unable to consult the doctor in time because it was at night. Outpatient ultrasound of the uterine adnexa indicated a mass in the right adnexal area. Combining the symptoms, medical history and examination results, the preliminary diagnosis was luteal rupture, and hospitalization was recommended for timely surgical treatment.
II. Treatment process
After admission to the hospital, the routine blood tests, blood type, coagulation system, complete set of viruses and electrocardiogram were checked urgently, and there were no obvious abnormalities and no contraindications to surgery. Postoperatively, she was given cardiac monitoring, oxygen, continuous urinary catheterization, acupressure and other care. She was also given Ornidazole injection and ceftazidime for injection to prevent infection, compound amino acid injection and sodium lactate ringer injection for rehydration, tranexamic acid sodium chloride injection to prevent postoperative bleeding and timely incisional dressing change.
III. Treatment effect
The operation was smooth, with good anesthesia effect, Ms. Tang’s respiration and blood pressure were stable, and there was not much intraoperative bleeding, about 50ml. On the 6th day of hospitalization, Ms. Tang recovered well, her general condition was fine, her vital signs were stable, her bowel movements were normal, there was no vaginal bleeding, she reported that she could sleep, and the pain at the incision was light, and the dressing was clean and dry, with good healing, no redness, swelling, hard nodules, no oozing of blood, and no distension and pain in both lower limbs. Before discharge, Ms. Tang was asked to return to the hospital in 1 month. Ms. Tang and her family were satisfied with the treatment effect.
IV. Precautions
After the surgery and medication, Ms. Tang’s body gradually recovered, so we are sincerely happy for Ms. Tang and her family. After discharge from the hospital, the following matters should be noted to promote recovery.
1. pay attention to rest: take more rest after surgery, ensure sufficient sleep, and avoid staying up late and working too hard.
2.Nutritious diet: increase nutrition appropriately in the post-operative diet, eat more light and nutritious food, such as fresh vegetables, fruits, eggs, meat, milk, etc., avoid eating spicy and stimulating, cold things, such as hot pot, ice cream, etc.
3, pay attention to hygiene: postoperative weakness, pay attention to personal hygiene, care for abdominal wounds, to avoid wound infection.
V. Personal insight
Luteal rupture is a relatively common disease in gynecological clinics, which easily occurs after external impact, such as jumping rope, strenuous exercise, after intercourse, such as the patient in this case. If a woman is in the luteal phase of her mid to late menstruation, it is recommended to avoid strenuous exercise and sexual intercourse to help avoid this disease. Once Ms. Tang has symptoms of luteal rupture, such as severe pain in one side of the lower abdomen, accompanied by nausea, vomiting, and false sweating, she must be seen by a hospital promptly. If the symptoms are mild, conservative hemostatic treatment can be carried out. If symptoms such as shock occur, surgical hemostasis should be carried out promptly.