Ruptured ovarian cyst Flashcards
1
Q
Features
A
The cysts tend to rupture just prior to ovulation or following coitus.
- Sudden onset of pain in one or other iliac fossa
- May be nausea and vomiting
- Pain usually settles within a few hours
2
Q
Signs
A
Tenderness and guarding in iliac fossa
PR: tenderness in rectovaginal pouch
3
Q
Diagnosis
A
US (transvaginal and abdominal views)
4
Q
Management
A
Appropriate explanation and reassurance
Conservative
–simple cyst <4 cm
–internal haemorrhage
–minimal pain
May need needle vaginal drainage or laparoscopic surgery
