Ovarian Cyst

Question 1

How may an ovarian cyst cause pain?

Answer 1

Torsion causing ischaemia
Haemorrhage causing increased size and pain
Space occupying

Question 2

What are the management options for ovarian cyst torsion?

Answer 2

Laparotomy or laparoscopy for removal or untwisting o the cyst

Removal of the ovary - reduced fertility, may have cyst in other ovary
Removal of the cyst - spillage and risk of chemical peritonitis