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Ovarian Cyst, Ruptured

Kristina Gracey Gracey, MD, MPH Reviewed 04/2024
 


BASICS

  • Ovarian cysts are frequent in reproductive-aged women.

  • Patients with a symptomatic ruptured cyst usually complain of acute onset unilateral lower abdominal pain.

  • Rupture can be caused by sexual i...

DIAGNOSIS

The characteristic symptoms of ruptured cyst may resemble ectopic pregnancy. Ectopic pregnancy should be ruled out when a ruptured cyst is suspected  (1)[C]. 

HISTORY

  • Questions that should be ...

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]
2
...

ADDITIONAL READING

American College of Obstetricians and Gynecologists Committee on Practice Bulletins—Gynecology. Practice Bulletin No. 174: evaluation and management of adnexal ...

CODES

ICD10

  • N83.20 Unspecified ovarian cysts

  • N83.0 Follicular cyst of ovary

  • N83.1 Corpus luteum cyst

  • N83.29 Other ovarian cysts

SNOMED

  • 95598005 ruptured cyst of ovary (disorder)

  • 44655008 rupture of follicula...

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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