DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191248

Ruptured ovarian cyst hemorrhage: the swing between conservative and surgical management

Maryam Al-Shukri

Abstract


Ruptured ovarian cyst hemorrhage is one of the causes of acute abdomen in women of reproductive age group that can be life threatening.1 There have been persistent interest in the discussion of managing ruptured ovarian cyst with or without ovulation.1–4 The dilemma of surgical versus conservative/non-surgical management always exist in such cases. It is more of a conundrum when the patient has abnormal coagulation due to either hematological disorders or as a result of anticoagulants.1,5 Commonly, indications for surgical interventions are variable and includes: if the source of the bleeding is not confirmed,  if patient is hemodynamically unstable, or if there are evidence of ongoing bleeding not settling despite conservative measures in a reasonable time.1


Keywords


Acute abdomen, Anticoagulant, Conservative management, Hemoperitoneum, Laparoscopy, Ruptured ovarian cyst

Full Text:

PDF

References


Al Ghafri W, Gowri V, Al-Khaduri M, Al-Shukri M. Life threatening corpus luteal hemorrhage. Gynecol. 2013;1(1):2.

Gupta N, Dadhwal V, Deka D, Jain SK MS. Corpus luteum hemorrhage: rare complication of congenital and acquired coagulation abnormalities. J Obs Gynecol Res. 2007;33(3):376-80.

Payne J, Maclean R, Hampton K, Baxter A, Makris M. Haemoperitoneum associated with ovulation in women with bleeding disorders: the case for conservative management and the role of the contraceptive pill. Hemophilia. 2007;13(1):93-7.

Kim JH, Lee SM, Lee J, Jo YR, Moon MH, Shin J, et al. Successful conservative management of ruptured ovarian cysts with hemoperitoneum in healthy women. PLoS One. 2014;9(3):1-5.

Jamal A, Mesdaghinia S. Ruptured corpus luteum cysts and anticoagulant therapy. Int J Gynaecol Obs. 2002;(76):319-20.

Fiaschetti V, Ricci A, Scarano AL, Liberto V, Citraro D, Arduini S, et al. Hemoperitoneum from corpus luteal cyst rupture: a practical approach in emergency room. Case Rep Emerg Med. 2014;2014:5.

Ho W-K, Wang Y-F, Wu H-H, Tsai H-D, Chen T-H, Chen M. Ruptured corpus luteum with hemoperitoneum: case characteristics and demographic changes over time. Taiwan J Obstet Gynecol. 2009;48(2):108-12.

Agarwal M, Prybot JE, Dhirasaria A. Ruptured corpus luteum cyst in women on anticoagulant: conservative or surgical management a clinical dilemma. Int J Reprod Contracept Obstet Gynecol. 2017;6(11):5164-5.

Mathew M, Al-Ghafri W, Al-Kalbani M, Al-Kharusi L, Gowri V, Al-Shukri M. A clinicopathological study of women with adnexal masses presenting with acute symptoms. Ann Med Health Sci Res. 2014;4(2):286-8.

Gowri V, Al Shukri M, Al Khaduri M, Machado L. Clinical and histological profile of surgically managed benign adnexal masses. Oman Med J. 2014;29(3).