• Clinical science

Ovarian cyst

Overview

References:[1][2]

Ovarian torsion

  • Etiology
    • Physical activity (e.g., when exercising)
    • The primary risk factor is ovarian enlargement (e.g., pregnancy, tumors, cysts).
  • Clinical features
    • Sudden onset unilateral lower abdominal pain
    • Nausea
    • Vomiting
  • Diagnosis: Pelvic ultrasound with Doppler velocimetry shows enlarged, edematous ovaries with decreased blood flow.
  • Treatment: Detorsion via laparoscopic surgery is recommended for viable ovaries.

References:[3]

Ruptured ovarian cyst

  • Etiology: Physical activity (e.g., when exercising)
  • Clinical features
    • Sudden onset unilateral lower abdominal pain
    • In case of a very large cyst: Fluid and blood loss may cause acute abdomen and shock.
  • Diagnosis: Pelvic ultrasound shows free fluid, most commonly in the pouch of Douglas (rectouterine pouch).
  • Treatment
    • Hemodynamically stable patients can be observed and given analgesics.
    • Hemodynamically unstable patients require laparoscopy to control hemorrhaging.

References:[4]

last updated 02/25/2019
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