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Ovarian Cyst
Related Subjects:Acute Cholecystitis |Acute Appendicitis |Chronic Peritonitis |Abdominal Aortic Aneurysm |Ectopic Pregnancy |Acute Cholangitis |Acute Abdominal Pain/Peritonitis |Assessing Abdominal Pain |Penetrating Abdominal Trauma |Acute Pancreatitis |Acute Diverticulitis
⚠️ A potential cause of acute abdominal pain in females.
📖 About
- 🩺 Benign ovarian cysts can cause acute abdominal pain, particularly when complications arise.
🧬 Aetiology
- 🌀 Dermoid cysts: These cysts have a long pedicle, which can twist (torsion) and cause severe pain.
- 💥 Rupture or bleeding: This can occur suddenly and lead to severe pain or haemorrhage.
- 🩸 Infarction: The cyst can lose its blood supply, causing infarction and intense pain.
🩹 Clinical Features
- ⚡ Acute, severe abdominal pain, often in the lower abdomen.
- 🤲 Signs of tenderness, guarding, and lower abdominal peritonitis may be present.
- 🔄 Cramp-like pain that can be intense and persistent.
🧪 Investigations
- 🧾 Blood tests: Full blood count (FBC), urea and electrolytes (U&E), C-reactive protein (CRP).
- 🧬 Beta hCG: To exclude pregnancy as a differential diagnosis.
- 🖥️ Imaging: CT scan of the abdomen may be indicated for further assessment.
💊 Management
- 🔬 Laparoscopy: This may be required for fixation, ligation, and removal of the cyst, particularly if torsion or rupture is suspected.
- 🚫 Avoid rupture: Care must be taken to prevent rupture of the cyst, especially if there is a concern about malignancy.
- 👩⚕️ Always involve the gynaecology team for further management and surgical intervention as needed.
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