The rupture in the ovary cyst is a usual occurrence in the women who are in the age of reproduction
. The management will be based on the patient features that include symptoms seriousness, whether there is no stability of homodynamic and also the presumption of histological diagnosis. Many of the women are steady and are managed as the outpatients with rest and analgesics.
The rupture of the cyst in the ovaries may also be asymptomatic or may be linked with the unexpected onset of the one sided pain in the lower abdomen. The pain frequently starts during the hectic physical activity like sexual intercourse or exercise. It may also be together with the slight bleeding in the vagina because of the drop in the ovarian hormones secretion and the ensuing sloughing of endometrial.
The blood from the rupture vicinity may leak into the ovary that may create pain from spreading to the ovarian cortex or the same may enter into the abdomen and create an irritating effect on the peritoneum. However, there is also the possibility for big quantity of blood to be available in the abdomen without giving out any signs or symptoms. The enormity and the danger of the bleeding is linked with the hemorrhagic cysts in the ovaries is more in the women with acquired diatheses of bleeding or with the congenital and also with those women who takes anticoagulants.
It will not be of much irritating when the mutinous or the serous fluid upon the cyst ruptures. The patient may stay asymptomatic in spite of the gathering of big volume of intra peritoneal fluid. On the other hand, a marked glaucomatous reaction and the chemical peritonitis that is generally be painful will be created when there is spillage of sebaceous material on the rupture of the dermoid cyst.
The treatment that is given for the ruptured cyst in the ovary will be based on the seriousness of the condition of the patient when admitted to the hospital or to the level of the damage that is created by the rupture and on the complications that may or may not be linked with the rupture of the cyst.
The initial treatment for the patient will be to stabilize the condition if the patient is admitted on the situation of emergency. The doctor has to access the airway, circulation and breathing of the patient and may require starting the patient on intravenous treatment. For those patients who are unstable, the first investigative treatment that will include is culdocentesis for determining the kind and the extent of the fluid in the patient's abdominal cavity.
In many of the ovarian cyst rupture cases irrespective of the complications, the patient will be started the treatment with antibiotics.
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