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.
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