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An ovarian cyst is a fluid-filled sac within the ovary. [1] They usually cause no symptoms, [1] but occasionally they may produce bloating, lower abdominal pain, or lower back pain. [1] The majority of cysts are harmless. [1] [2] If the cyst either breaks open or causes twisting of the ovary, it may cause severe pain. [1]
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]
Benign or malignant; simple or complex An adnexal mass is a lump in the tissue of the adnexa of the uterus (structures which are closely related structurally and functionally to the uterus, such as the ovaries , fallopian tubes , or any of the surrounding connective tissue ).
Biliary cystadenoma and cystadenocarcinoma constitute less than 5% of intrahepatic cysts originating from the bile duct. [6] Cystadenomas in liver are often confused with hydatid cyst as their appearance on various imaging techniques is nearly same. [7] Treating cystadenomas as hydatid cyst has resulted in recurrence of the cyst. [7]
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.
Treatment depends on the type of ovary apoplexy and the severity of intra-abdominal bleeding, but the condition must be treated in a hospital. In the case of pain without signs of intra-abdominal bleeding, conservative therapy may be initiated, which includes bed rest, antispasmodics , and physiotherapy.
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