In today's society, women also take on the responsibility of supporting their families, but some women suffer from various gynecological diseases, including ovarian chocolate cysts. This is a common tumor that requires timely surgical treatment in severe cases, and may rupture if not taken seriously. So, what's going on with a ruptured ovarian chocolate cyst? Below are some detailed introductions.
What's wrong with the rupture of ovarian chocolate cyst
Chocolate cysts that grow in the ovaries often have fragile walls, and during surgical separation, almost none of them do not rupture. This characteristic suggests that chocolate cysts may have a tendency to spontaneously rupture, and this is also the case in reality. After the cyst ruptures, small incisions can quickly heal on their own and form adhesions with surrounding tissues; If the wound is large, it cannot heal on its own, and the thick chocolate like fluid inside can flow into the abdominal cavity. This chocolate like fluid is extremely irritating and can stimulate the surrounding peritoneum, causing severe abdominal pain. If not treated in a timely manner, it may also lead to diffuse peritonitis, resulting in fatal consequences.
How to diagnose ovarian chocolate cyst
The diagnosis of ovarian chocolate cyst rupture was once very difficult, because people did not realize that chocolate cysts have a tendency to spontaneously rupture, and of course, they did not know that this type of acute abdomen exists in clinical practice. In fact, chocolate cyst rupture not only has common symptoms of acute abdomen, but also has its unique characteristics:
1. Most of the patients are women of childbearing age, and the onset time is often during menstruation or premenstrual period (i.e. the second half of the menstrual cycle).
2. Generally, there is no amenorrhea or irregular vaginal bleeding (which is common in ectopic pregnancies).
3. The typical manifestation is sudden and severe lower abdominal pain, gradually extending to the entire abdomen, accompanied by low-grade fever or mild elevation of white blood cells, and obvious peritoneal irritation signs, namely abdominal muscle tension, tenderness, and rebound tenderness.
4. The vast majority of patients do not experience shock or a decrease in blood pressure. At the same time, if a history of endometriosis can be traced and tender nodules are found in the uterorectal fossa, the possibility of chocolate cysts should be considered. Posterior fornix puncture is the most specific method, and when obtaining dark brown coffee like liquid, the diagnosis can be basically confirmed.
In short, once female friends are diagnosed with ovarian chocolate cysts, they should seek timely treatment at a regular hospital. Do not neglect, as it may cause the rupture of ovarian chocolate cysts. What is the cause of ovarian chocolate cyst rupture? The probability of spontaneous rupture of this tumor is very high, so timely treatment measures should be taken. Regular gynecological examinations are essential for timely detection of diseases and early treatment.
