Ruptured ovarian cyst Flashcards
1
Q
What is the presentation of ruptured ovarian cyst?
A
Presents as sudden, sharp pain in an adnexa (adnexa = combo of Fallopian tube + ovary).
2
Q
What is often found during culdocentesis for a ruptured ovarian cyst?
A
10-15 mL of serosanguineous fluid in the pouch of Douglas
3
Q
Key differentiator for ruptured ovarian cyst?
A
The question will say there is no mass / will not mention mass.
4
Q
How is a ruptured ovarian cyst treated?
A
Treated symptomatically (i.e., NSAID). Do not do laparoscopy.
5
Q
Per UWorld: Ruptured ovarian cyst can also present with
A
Hemoperitoneum (abdominal rebound, rigidity, guarding, referred shoulder pain) (hemodynamically unstable patients with peitoneal signs require emergency surgery)
