A case of acute abdomen-ruptured ovarian cysts
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20242843Keywords:
Ovarian cyst, Ovarian cyst rupture, Acute abdomen, HemoperitoneumAbstract
Ovarian cyst rupture can lead to a spectrum of clinical presentations, from mild symptoms to life-threatening emergencies. This case report discusses a 26-year-old female who presented with lower abdominal distension and intermittent pain after a spontaneous incomplete abortion. Initial ultrasound revealed a large right adnexal cyst managed conservatively. During hospitalization, the patient developed acute abdominal pain with hypotension and tachycardia, prompting emergency laparotomy. Intraoperatively, a ruptured ovarian cyst with hemoperitoneum was identified and managed surgically. The case underscores the need for prompt differentiation between ovarian torsion and cyst rupture and highlights the role of surgical intervention in severe cases.
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References
Mobeen S, Apostol R. Ovarian cyst. Treasure Island (FL): StatPearls Publishing. 2023. Available at: https://www.ncbi.nlm.nih. Accessed on 17 March 2024.
Fiaschetti V, Ricci A, Scarano AL, Liberto V, Citraro D, Arduini S, et al. Hemoperitoneum from corpus luteal cyst rupture: a practical approach in emergency room. Case Rep Emerg Med. 2014;2014:252657.
Mantecon O, George A, DeGeorge C, McCauley E, Mangal R, Stead TS, et al. A case of hemorrhagic ovarian cyst rupture necessitating surgical intervention. Cureus. 2022;14(9):29350.
Oltmann SC, Fischer A, Barber R, Huang R, Hicks B, Garcia N. Pediatric ovarian malignancy presenting as ovarian torsion: incidence and relevance. J Pediatr Surg. 2010;45(1):135-9.
Mullany K, Minneci M, Monjazeb R, Coiado O. Overview of ectopic pregnancy diagnosis, management, and innovation. Womens Health (Lond). 2023;19:17.
Boyd CA, Riall TS. Unexpected gynecologic findings during abdominal surgery. Curr Probl Surg. 2012;49(4):195-251.
Kim JH, Lee SM, Lee JH, Jo YR, Moon MH, Shin J, et al. Successful conservative management of ruptured ovarian cysts with hemoperitoneum in healthy women. PLoS ONE. 2014;9:3.