ruptured ovary
Introduction
Introduction to ovarian rupture Ovarian mature bubble or corpus luteum caused damage to the wall due to some reasons, bleeding, severe cases can cause a large number of intra-abdominal hemorrhage, that is, rupture of the ovary, so there are two kinds of rupture of follicles and rupture of corpus luteum or corpus luteum. Both married and unmarried women can occur, with the most common age at birth. Ovarian rupture is somewhat different from other organs. The rupture of other organs is usually caused by an external injury that causes damage. Although ovarian rupture also has external forces, in most cases, ovarian rupture is a spontaneous form of rupture. The rupture of the corpus luteum is dangerous. Most of the rupture of the corpus luteum occurs on the 20th to 26th day of the menstrual cycle. The lower abdomen may have pain and severity. basic knowledge The proportion of illness: 0.001% Susceptible people: women Mode of infection: non-infectious Complications: shock
Cause
Cause of ovarian rupture
Spontaneous rupture (30%):
That is, the follicular hematoma or corpus luteum hematoma continues to expand, and the internal pressure increases to a certain extent, that is, rupture occurs. There are several causes for its occurrence: 1 It is closely related to ovarian congestion, such as ovarian compression or uterine prolapse, long-term vaginal lavage, etc. Mechanical factors or pelvic inflammation, acute, chronic appendicitis caused by ovarian congestion.
Ovarian function changes (30%):
Excessive cold, hot bath, long-term application of estrogen or progesterone can cause functional changes in the ovary, or due to the influence of the autonomic nervous system, the ovarian enzyme system is overactive, causing bleeding tendency or coagulopathy; 3 blood changes, menstruation An epidemic, anemia, malnutrition or other conditions cause partial damage to the platelets and changes in blood components, leading to bleeding.
External force impact (30%):
The ovaries are directly or intermittently affected by external forces and cause rupture, such as sexual intercourse, increased intra-abdominal pressure (stool force, nausea, vomiting, weight lifting, etc.).
Prevention
Ovarian rupture prevention
Before the rupture of the ovarian corpus luteum, there are processes of ovarian congestion and swelling, such as excessive abdominal fat, frequent vaginal lavage, pelvic inflammation, etc., can cause ovarian congestion. The ovaries are affected by external forces or indirect external forces, especially during premenstrual hyperemia. It is easy to have accidents due to factors such as fecal exertion, nausea, vomiting, and weight lifting. It can also be induced by sexual intercourse and intense activity. It is best to go to the hospital immediately after the onset of ovarian corpus luteum rupture. Do not abuse the painkillers yourself, so as not to cover up the symptoms and affect the normal diagnosis.
Complication
Ovarian rupture complications Complications
Severe bleeding leads to shock and so on.
Symptom
Ovarian rupture symptoms Common symptoms Acute pain cysts Internal bleeding Cervical pain Ovarian dysfunction Nausea Abdominal tonic shock
Generally no menstrual irregular medical history or amenorrhea history, most of the mid-menstrual or premenstrual disease, rapid onset, sudden pain in the lower abdomen, after a short period of time into a persistent fall pain, gradually reduced or later. Occasionally, there may be nausea and vomiting but not significant. Generally no vaginal bleeding, severe internal bleeding may have shock symptoms.
Examine
Ovarian rupture
Physical examination: the lighter person has only mild tenderness in the lower abdomen, and the tenderness point on the right side is in the lower part of the Markov's point. The position is lower. In severe cases, the lower abdomen has obvious tenderness, and there is rebound tenderness, but abdominal muscle rigidity. Not as good as generalized peritonitis.
Double-conspiratory diagnosis: cervical pain, tenderness on the two sides of the ankle, normal uterus, movement of the palace body pain, internal bleeding can be felt in the attachment area or sputum, and sometimes the enlarged ovary can be touched.
Diagnosis
Diagnosis and diagnosis of ovarian rupture
Differential diagnosis
(A) acute appendicitis: ovarian rupture occurs on the right side, it is easy to be misdiagnosed as acute appendicitis, acute appendicitis is often upper abdominal pain or full abdominal pain, gradually limited to Markov points, nausea, vomiting is more prominent, tenderness, Both rebound tenderness and abdominal muscle rigidity were obvious. Double diagnosis: cervical pain and uterine movement pain were mild, while ovarian rupture was completely opposite. Light ovarian rupture gradually relieved and acute appendicitis had internal bleeding symptoms and signs. In appendicitis, there is no.
(B) tubal pregnancy rupture or miscarriage: ovarian rupture is easily misdiagnosed as tubal pregnancy rupture or miscarriage, but if you can carefully interrogate the history of menstruation, pay attention to the time of the lesion in the menstrual cycle, generally can still identify, tubal pregnancy often have a short history of amenorrhea A small amount of vaginal bleeding, recurrent abdominal pain, pelvic pain is obvious, can be found in the mass, other such as infertility history, etc., are different from ovarian rupture.
