successful conservative management of massive hemoperitoneum in patients on anticoagulation with ruptured hemorrhagic ovarian cyst: a report of two cases and review of literature

Management of hemoperitoneum due to ruptured ovarian cyst in patients on anticoagulation is a dilemma. low threshold of surgery intervention may increase the risk of some events operatively. there is a trend for less invasive treatment in highly selected patients. we present two cases   of massive hemoperitoneum due to ruptured ovarian cyst that were on anticoagulation. successful conservative management was done in both of them and one patient, due to refractory abdominal pain, required interventional radiologic drainage, instead of surgery approach with good outcome. ovulation suppression was started in both of them with regular uneventful follow up heretofore. less invasive management is preferred in carefully selected patients of hemoperitoneum in women on anticoagulation. ovulation suppression to avoid recurrence must be emphasized.