한양대학교 의과대학 산부인과학교실에서 1977년 11월부터 1981년 10월까지 4년간 급성 복증을 초래한 황체파열 52예를 경험하여 이에 대한 임상적 관찰을 가한 바 다음과 같은 결론을 얻었다. 1.급성 복증 568예중 질환별 빈도는 난관임신 428예(75.3%), 황체파열 52예(9.1%) 난소 낭종염전 26예(4.6%) 및 기타의 순위였다. 2.환자의 연령은 20세로부터 48세 사이로 평균 31.6세였다. 3.월경주기를 확인할 수 있었던 40예중 39예에서 주기 제15~28일에 발병되었다. 4.복강내 출혈량은 500ml 이상이 33예(63.6%)이고 100ml 이하가 4예(9.6%)였다. 5.증상이 나타난 후 입원까지의 기간은 평균 3.9일이었으며 28예(53.8%)는 발병 즉일에 응급수술을 받았다. 6.황체파열의 유발인자로서 복강내에 급격한 압력상승이 25예(48.2%), 원인불명이 27예(51.8%)였다. 7.수술전 오진율은 25예(48.2%)로 이중 난관임신 20예(38.5%), 급성 충수돌기염 3예, 난소 낭종염전 2예였다. 8.이환 난소는 우측이 34예(65.4%), 좌측이 18예(34.6%)였다. 9.내 외진 소견은 난관임신의 그것과 비슷하였다. 10.황체파열 초기에 복강경 검사로 소량출혈된 4예에서 진단이 가능하였으며, 이중 100cc 미만의 3예는 흡인 또는 흡인과 소작후 안정 관찰로 치유되었다.

52 cases of ruptured corpus luteum causing the acute abdomen were observed in the Department of Obstetrics & Gynecology of Hanyang University Hospital during the 4 years from November, 1977 to October, 1981. These cases were analyzed with clinical evaluation and the results were as follows; 1.Among 568 cases of acute abdomen, the incidence of each case in order was as follows; ectopic pregnancies 428(75.3%), rupture of corpus luteum 52(9.1%), torsion of ovarian cyst 26(4.6%) and others. 2.The age of patients ranged from 20 to 48 years old with mean of 31.6 years old. 3.In 39 to 40 cases, in which the menstrual cycle was confirmed, symptoms developed from the 15th. to 28th. cyclic day. 4.In 33 cases (63.6%), Intraabdominal bleeding was over 500ml and in 4 cases (9.6%), below 100ml. 5.The mean interval from onset of symptoms to admission was 3.9 days and in 28 cases (53.8%), emergency operation was performed within the first day after onset of symptoms. 6.Predisposing factors of corpus luteum rupture were sudden increase of intraabdominal pressure in 25 cases (48.2%) and unknown origin in 27 cases (51.8%). 7.The rate of preoperative misdiagnosis was 48.2%(25 cases). Among these, ectopic pregnancies, acute appendicitis, and torsion of ovarian cyst were 20 cases(38.5%), 3 cases(5.8%),and 2 cases(3.8%),respectively. 8.The right ovary was affected in 34 cases(65.4%) and left in 18 cases(34.6%). 9.Pelvic and physical findings were similar to those of ectopic pregnancy. 10.During the early period of corpus luteum rupture, 4 cases of minimal bleeding were diagnosed by diagnostic laparoscopy and of these, 3 cases, with bleeding less than 100ml, were healed by aspiration and/or fulguration with rest.