Common complications of ovarian cysts

Acute pedicle torsion, the patient sudden severe lower abdominal pain, severe when accompanied by nausea, vomiting, and even shock. Check ipsilateral abdominal muscle tension, tenderness significant mass greater tension.

1. Pedicle torsion more common for one of gynecologic acute abdomen. Particularly prevalent in the tumor pedicle length, medium-size and large activity center of gravity tend to side of the cystic tumor was experiencing many changes occurred in the position when the early pregnancy or postpartum. Torsion, due to the tumor obstructed venous return, causing congestion, was purple-brown, and even rupture of blood vessels. May be due to arterial obstruction caused by tumor necrosis, infection. Acute pedicle torsion, the patient sudden severe lower abdominal pain, severe when accompanied by nausea, vomiting, and even shock. Check ipsilateral abdominal muscle tension, tenderness significant mass greater tension. Once diagnosed immediately after surgery to remove the tumor. Do not be reversed during operation of the pedicle back, preferably in the Department of proximal clamp torsion cut off to prevent the thrombus into the blood circulation.

2. Tumor rupture may be due to cyst or tumor necrosis erosion caused by spontaneous perforation of cyst rupture; or due to compression, childbirth, gynecological examination and puncture caused by traumatic rupture. Posterior capsular rupture of fluid into the abdominal cavity and stimulate the peritoneum, can cause severe abdominal pain, nausea, vomiting, and even shock. Check when the abdominal wall tension, tenderness, peritoneal irritation signs such as rebound tenderness, the original tumor shrink or disappear. After the diagnosis should be immediately laparotomy, removal of cysts, peritoneal washing.

3. Infected with rare, multi-torsion secondary to tumor or fracture. The main symptoms are fever, abdominal pain, leukocytosis, and varying degrees of peritonitis. Should be actively control the infection, elective surgical exploration.

4. Malignant transformation of ovarian benign tumor of malignant transformation to occur in older postmenopausal women, particularly the latter, the tumor rapidly increased in the short term, the patient a sense of abdominal distension, loss of appetite, check the tumor volume increased significantly, fixed, multi-ascites. Suspected malignant transformation, shall be timely processing.

Ovarian cysts are common gynecological diseases, can occur at any age of women, more common in women aged 20-50. Mostly benign. In the young girls and postmenopausal women, its often malignant, should pay attention to. As the ovary in the pelvis, the tumor of early multiple asymptomatic, so early detection is not easy; malignant tumor was found, they often have an advanced and therefore a lower cure rate.