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Ruptured Ovarian Cyst

 Syn. Ovarian Cyst Ruptured , ruptured cyst of ovary

Signs & Symptoms

 Unilateral lower abdominal pain
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Right lower abdominal pain
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Unilateral pain
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Sharp pain
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]

Physical Examination

 Right lower abdominal tenderness
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis] Uptodate [ Evaluation and management of ruptured ovarian cyst]
Lower abdominal tenderness
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Rigidity of abdominal wall #Advanced
Note: due to release of sebaceous material or blood into the abdomen
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]

Lab / Serology

 Elevated white blood cell count
Note: suspicion of an infectious or necrotic process as the etiology of the symptoms rather than cyst rupture
Ref: Uptodate [ Diagnostic approach to abdominal pain in adults] Uptodate [ Evaluation and management of ruptured ovarian cyst]
Left shift
Note: suspicion of an infectious or necrotic process as the etiology of the symptoms rather than cyst rupture
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Low hematocrit
Note: due to hemorrhage, due to baseline anemia
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]

Imagin Study

 Ultrasound finding peritoneal fluid
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Ultrasound finding adnexal mass
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Ultrasound finding fluid in pelvis
Note: Small amounts of anechoic fluid in the pelvis are seen in women of reproductive age
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]

Complication

 Upper abdominal pain #Advanced
Note: due to subphrenic blood extravasation
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Rigidity of abdominal wall #Advanced
Note: due to release of sebaceous material or blood into the abdomen
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Peritonitis #Advanced
Note: due to release of sebaceous material or blood into the abdomen
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]

Risk Factors

 Ovarian cysts
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Ovulation induction
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]
Vaginal intercourse
Ref: Uptodate [ Evaluation and management of ruptured ovarian cyst]

Cause

Other