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Ovarian apoplexy is a sudden rupture in the ovary, commonly at the site of a cyst, accompanied by hemorrhage in the ovarian tissue and/or intraperitoneal bleeding. Symptoms and signs [ edit ]
Endoscopic image of a ruptured chocolate cyst in left ovary. Endometrial tissue is the mucous membrane that normally lines the uterus. The endometrium is richly supplied with blood and its growth is regulated by estrogen and progesterone. [6] It consists of glandular and stroma tissue from the lining of the uterus. [3]
Its rupture can create sharp, severe pain on the side of the ovary on which the cyst appears. This sharp pain (sometimes called mittelschmerz) occurs in the middle of the menstrual cycle, during ovulation.
Rupture of large ovarian cysts can cause bleeding inside the abdominal cavity. [5] Rarely, enough blood will be lost that the bleeding will produce hypovolemic shock, which can be a medical emergency requiring surgery. [5] [10] However, normally, the internal bleeding is minimal and requires no intervention. [5]
Corpus luteum cysts are a normal part of the menstrual cycle. They can, however, grow to almost 10 cm (3.9 in) in diameter and have the potential to bleed into themselves or twist the ovary, causing pelvic or abdominal pain. It is possible the cyst may rupture, causing internal bleeding and pain. This pain typically disappears within a few days ...
There are four types of ovarian cysts — functional cysts, PCOS cysts, benign ovarian tumor and malignant ovarian tumor — that range from harmless to fatal.
[3]: 103 Ultrasonography is a sensitive enough imaging tool that it can accurately differentiate between pregnancy, hemorrhagic ovarian cysts, endometriosis, ovarian torsion, and tubo-ovarian abscess. Its availability, the relative advancement in the training of its use, its low cost, and because it does not expose the woman (or fetus) to ...
While usually asymptomatic, it has been noted that these cysts tend to be more common in women with unexplained infertility (52.1% versus 25.6% in controls, p<0.001) and suggested that they may play a role in infertility. [10] It has been proposed that these cysts interfere with tubal pick-up and function. [11] [12]