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Ovarian Cyst, Ruptured

Glency Sue Marie S. Corominas, MD, Adriana Arocha, MD and Marcy Wiemers, MD Reviewed 06/2019
 


BASICS

  • Ovarian cysts are frequent in reproductive-aged women.

  • Most ovarian cysts are benign physiologic follicles created by the ovary at the time of ovulation.

  • Ovarian cysts can cause symptoms when the...

DIAGNOSIS

  • When a ruptured ovarian cyst is suspected, a pregnancy test should be performed to rule out an ectopic pregnancy (1)[C].

  • Sonographic imaging along with CT and MRI can aid in diagnosis of gyne...

TREATMENT

GENERAL MEASURES

  • For many patients, pain associated with a ruptured cyst will be transient and self-limiting.

  • Cyst rupture in a stable healthy patient can be managed conservatively in 80% of c...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow-up for patients managed conservatively should be scheduled in 72 hours from the initial onset of symptoms. Patients should present sooner for new or worsen...

REFERENCES

1
Biggs W, Marks S. Diagnosis and management of adnexal masses. Am Fam Physician.  2016;93(8):676–681. [View Abstract on OvidMedline]
2
Iraha Y, Okada M, Iraha R, et al. CT and MR imaging...

ADDITIONAL READING

  • Abduljabbar H, Bukhari Y, Al Hachim EG, et al. Review of 244 cases of ovarian cysts. Saudi Med J.  2015;36(7):834–838. [View Abstract on OvidMedline]

  • American College of Obstetr...

CODES

ICD10

  • N83.20 Unspecified ovarian cysts

  • N83.0 Follicular cyst of ovary

  • N83.1 Corpus luteum cyst

  • N83.29 Other ovarian cysts

ICD9

  • 620.2 Other and unspecified ovarian cyst

  • 620.0 Follicular cyst of ovary

  • 620...

CLINICAL PEARLS

  • Functional ovarian cysts are very common in reproductive-age women and are usually self-limiting.

  • Always exclude ectopic pregnancy.

  • Management of symptomatic ruptured cysts is usually ac...

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