Bobo T I, Ano-Edward G H, Bakare T Y, Ogunlaja A O
Department of Obstetrics and Gynaecology, Bowen University Teaching Hospital, Ogbomoso, Nigeria.
Department of Anatomic Pathology, Bowen University Teaching Hospital, Ogbomoso, Nigeria.
J Family Med Prim Care. 2024 Aug;13(8):3427-3430. doi: 10.4103/jfmpc.jfmpc_1282_23. Epub 2024 Jul 26.
Rupture of corpus luteum cyst from sexual pleasure is an uncommon event that has not been reported in our environment (Africa). The patient is a 30-year-old primiparous woman who developed severe lower abdominal pain thirty minutes after sex; the pain was unrelenting despite the use of over-the-counter analgesic drugs and local herbs. Twelve hours after sex, when the problem persisted and she complained of dizziness and weakness, she was rushed to the emergency room of our facility for medical treatment. An initial diagnosis of ruptured ectopic gestation was made. She had an emergency laparotomy with repair of the ruptured cyst and blood transfusion. Incisional biopsy was taken from the cyst and pathological examination revealed a ruptured corpus luteum cyst. She did well post-surgery and was discharged to follow up in the clinic on the third day after surgery. Ruptured corpus luteum cyst from sexual pleasure is a rare event. Thus, a high index of suspicion is necessary to elicit a history of sex, which patients are often unwilling to disclose.
因性快感导致的黄体囊肿破裂是一种罕见事件，在我们所处的环境（非洲）尚未有过报道。患者是一名30岁的初产妇，在性交后30分钟出现严重下腹痛；尽管使用了非处方镇痛药和当地草药，疼痛仍未缓解。性交12小时后，问题依旧存在，她诉说头晕、乏力，随后被紧急送往我们机构的急诊室接受治疗。初步诊断为异位妊娠破裂。她接受了急诊剖腹手术，修复破裂囊肿并输血。从囊肿处取了切口活检，病理检查显示为黄体囊肿破裂。她术后恢复良好，术后第三天出院到门诊随访。因性快感导致的黄体囊肿破裂是罕见事件。因此，需要高度怀疑以引出性史，而患者往往不愿透露这一病史。
