Massive Intraperitoneal Hemorrhage Caused by Hemorrhagic Ovarian Cyst in a Patient with Chronic Idiopathic Thrombocytopenic Purpura

Abstract

Bleeding due to idiopathic thrombocytopenic purpura (ITP) is usually associated with mucocutaneous bleeding. A hemorrhagic ovarian cyst, that rarely progress into intraperitoneal bleeding, is one of the gynecological diseases leading to acute abdomen. We report here a girl with chronic ITP who developed intraperitoneal hemorrhage caused by hemorrhagic ovarian cyst at the luteal phase. We suggest that ovarian hemorrhage should be added as one of the differential diagnosis in a girl with thrombocytopenia who presents with acute abdominal pain. Careful follow-up is required because ovarian hemorrhage has a tendency to recur.