Ovarian corpus luteum cyst rupture
Introduction
Introduction to rupture of corpus luteum cyst The ovary forms a corpus luteum after ovulation, and the normal mature corpus luteum is 2 to 3 cm in diameter. If there is a large amount of effusion in the corpus luteum, the corpus luteum cyst is more than 3cm in diameter. The corpus luteum can also be enlarged into a cyst, which usually disappears after 3 months of pregnancy. Luteal cysts can cause cyst damage, bleeding, and severe cases can cause acute abdomen. In the ovarian corpus luteum vascularization, it is easy to rupture, usually internal bleeding first, so that the intracapsular pressure increases, which in turn causes rupture and bleeding. The original blood disease leads to a disorder of blood coagulation, which is easy to hemorrhage and is not easy to stop bleeding. basic knowledge The proportion of illness: 0.012% Susceptible people: women Mode of infection: non-infectious Complications: fainting shock
Cause
Ovarian corpus luteum cyst rupture etiology
Autonomic nervous system effects (35%):
The ovary is the gonad of women. It is the organ that produces eggs and sex hormones. It is located behind the broad ligament on both sides of the uterus. It is a pair of ellipsoids. Its size and shape vary with age. The ovary is generally solid, but there are many changes. Neoplastic cysts and proliferative or neoplastic lesions and various tumors, due to the influence of the autonomic nervous system, make ovarian function changes or ovarian enzyme system function is excessively enhanced, resulting in a coagulation mechanism disorder, showing a tendency to hemorrhage.
Increased intracapsular pressure (20%):
In the ovarian corpus luteum vascularization, it is easy to rupture, usually internal bleeding first, so that the intracapsular pressure increases, which in turn causes rupture, bleeding, the original blood disease, leading to coagulation mechanism, easy to hemorrhage and not easy to stop bleeding.
Trauma (25%):
In addition, trauma, ovarian direct or indirect external force, pelvic inflammation, ovarian uterine congestion and other factors can cause corpus luteum cyst rupture, iatrogenic ovarian rupture, more common in ovarian inflammation and close adhesion of surrounding tissues, in isolation (blunt, Sharpness can cause rupture during treatment. When the uterus or accessory surgery is performed, the forceps are close to the ovarian tissue. When clamped, cut, or sutured, the ovarian injury and the rupture of the ovary can be caused. In the assisted reproductive technique, the abdominal or vaginal follicle puncture is taken. Ovarian rupture occurs in the egg, polycystic ovary syndrome in the laparoscopic or laparoscopic ovarian multi-point cortex and medullary puncture, is also caused by multiple rupture of the ovary, ovarian necropsy, wedge resection and many other medical sources Sexual conditions can cause rupture of the ovaries, so rupture of the ovaries is not a bad thing, in many cases as part of the diagnosis and treatment.
Prevention
Ovarian corpus luteum cyst rupture prevention
Early diagnosis and timely treatment. The prevention of rupture of corpus luteum cysts is mainly to avoid strenuous activities in the early menstrual period, and the early manifestations of discomfort should be identified, and the diagnosis and timely treatment should be confirmed in time. For ovarian rupture, especially after iatrogenic treatment, adhesion or residual residual ovarian syndrome should be prevented. For ovarian rupture repair, partial resection or major resection, attention should be paid to the patient's pelvic cavity for inflammation. No adhesion, ovarian endocrine function, etc.
Complication
Ovarian corpus luteum cyst rupture complications Complications faint shock
Severe cases can show dry mouth, heart palpitations, dizziness, vertigo, fainting and other shock symptoms.
Symptom
Ovary corpus luteum cyst rupture symptoms Common symptoms Nausea lower abdomen pain Abdominal pain Lower abdominal tenderness Blood pressure drop Cyst Cervical pain Mobility Voiced nausea and vomiting pulse rate increase
Symptoms can occur in married or unmarried women, most common in women of childbearing age, usually on the 20th to 27th day of the menstrual cycle, sudden lower abdominal pain, nausea, vomiting, frequent urination, and a small number of patients with abdominal pain occur in menstruation In the medium term or 30 to 40 days, the examination has anemia, rapid pulse rate, blood pressure drop, lower abdominal tenderness, mobile dullness positive, cervical pain, post-Qianlong full, tenderness, and the uterus can touch the unclear mass. Early as tender tofu, late hard, inactive, tender and obvious.
Examine
Examination of rupture of corpus luteum cyst
Ovarian corpus luteum cyst rupture is generally diagnosed based on history, symptoms, signs and tests, and auxiliary examination. Commonly in the 20th to 27th day of the menstrual cycle, sudden lower abdominal pain, nausea, vomiting, frequent urination.
1. Blood routine: Hemoglobin declines.
2. Blood or urine HCG measurement: negative, but if the pregnancy corpus luteum rupture, HCG can be positive.
3. B-type ultrasound: the affected side of the ovary enlarges, the peritoneal effusion.
4. Posterior Qianlong puncture: dark red blood that does not condense.
5. Laparoscopy showed active bleeding in ovarian rupture.
Diagnosis
Diagnosis and diagnosis of rupture of ovarian corpus luteum cyst
diagnosis
Generally based on medical history, symptoms, signs and tests, auxiliary examination can confirm the diagnosis.
Differential diagnosis
Ectopic pregnancy rupture or abortion
Due to abdominal pain or a small amount of vaginal bleeding, the signs of intra-abdominal hemorrhage are similar to the rupture of the corpus luteum cyst, but the former often have menopause, early pregnancy reaction, mainly for pregnancy test to identify.
2. Acute appendicitis
There is metastatic right lower abdominal pain, obvious signs of peritoneal irritation, and no symptoms and signs of internal bleeding, gynecological examination of cervical pain can be identified.
