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

Authors

  • Maryam Al-Shukri Department of Obstetrics and Gynecology, College of Medicine, Sultan Qaboos University, Muscat, Oman

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20191248

Keywords:

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

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

References

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Published

2019-03-26

Issue

Section

Letter to the Editor