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Ovarian Apoplexy - KindCare Medical Center
Ovarian Apoplexy - KindCare Medical Center
GYNECOLOGY
Operation Ovarian Apoplexy
OBSTETRICS
Ovarian apoplexy (ovarian rupture) – a sudden rupture (integrity violation) of
SURGICAL GYNECOLOGY ovarian tissue, accompanied by bleeding in the abdominal cavity and pain.
Surgery for tumors and In the ovaries of a mature woman, follicles grow; the eggs mature in them, that
tumor-like formations of is, preparation for the upcoming pregnancy. From the beginning of the
the uterus
menstrual cycle, the dominant follicle begins to grow, which reaches its
maximum size, about 20 mm, by the middle of the menstrual cycle. Then the
Surgery for ectopic
pregnancy follicle membrane breaks, releasing a mature egg, – ovulation occurs In place of
the bursting follicle, a temporary formation forms – the corpus luteum, which
Plastic surgery on the produces certain hormones that prepare the woman’s body for pregnancy. This
vagina and external genitals is the normal course of the ovarian cycle.
Ventro fixation With dystrophic and sclerotic changes in ovarian tissue, which occur in acute
and chronic inflammatory processes in the uterine appendages, with polycystic
Operations with anomalies
ovary syndrome and some other diseases, as well as with drug stimulation of
of the development of the
female genital organs, ovulation, certain disorders occur during ovulation and the formation of the
intrauterine and cervical corpus luteum. As a result, the blood vessels at the site of rupture of the ovary
pathology are poorly contracted, intra-abdominal bleeding continues and intensifies, and
hemorrhage, a hematoma, forms in the corpus luteum due to the fragility of the
Bartholin’s Abscess
vessels. All this is accompanied by pain, weakness, dizziness, nausea, vomiting,
Surgery for ovarian pallor of the skin, fainting. Without appropriate treatment, internal bleeding can
apoplexy intensify, creating a real threat to the health and life of a woman. Other factors
that can cause ovarian rupture include abdominal trauma, excessive physical
Conservative myomectomy exertion, violent intercourse, horse riding, etc.
Hysterectomy
Frequency and forms of ovarian apoplexy
Removal of polyps, cervical
erosions, genital warts Ovarian apoplexy (ovarian rupture) sudden rupture (integrity violation) of
ovarian tissue, accompanied by bleeding in the abdominal cavity and pain.
CERVICAL CANCER Among the causes of intra-abdominal bleeding, 0.5-2.5% is due to ovarian
SCREENING AND apoplexy.
COLPOSCOPY
There are 3 forms of ovarian apoplexy, depending on the prevailing symptoms:
PREMENOPAUSE AND
MENOPAUSE 1. A painful form when there is a pronounced pain syndrome, but there are
TREATMENT no signs of intra-abdominal bleeding.
3. The mixed form combines the signs of pain and anemic forms of ovarian
apoplexy.
1. Pain syndrome, which occurs primarily in the middle of the cycle or after a
slight delay in menstruation (for example, when the corpus luteum cyst
ruptures) Pain is most often localized in the lower abdomen. Sometimes
pain can radiate to the rectum, lumbar or umbilical region.
pressure reduction;
syncopal conditions;
chills, fever up to 38 ° C;
single vomiting;
dry mouth.
Occasionally, intermenstrual bleeding or bloody discharge may occur after a
delay in menstruation.
Quite often, ovarian apoplexy occurs after intercourse or training in the gym,
that is, under certain conditions, when the pressure in the abdominal cavity
rises and there may be a violation of the integrity of the ovarian tissue.
However, rupture of the ovary can occur against the background of complete
health.
3. Violent intercourse.
Diagnostic errors are explained, first of all, with the fact that the clinic of this
disease does not have a characteristic and develops as another acute
pathology in the abdominal cavity and small pelvis.
First of all, ovarian apoplexy must be differentiated from ectopic pregnancy and
acute appendicitis.
As a rule, in the presence of a clinic of “acute abdomen”, consultation of related
specialists (surgeons, urologists) is also necessary.
5. An ultrasound scan that allows you to see a large corpus luteum in the
affected ovary with signs of hemorrhage in it and / or free fluid (blood) in
the abdomen.
The final diagnosis of ovarian apoplexy is almost always made during surgery.
Patients with a mild form of apoplexy complain primarily of pain in the lower
abdomen.
Almost every 2nd woman after conservative management may cause relapse
(repeated ovarian apoplexy). This is due to the fact that blood and clots that
accumulate in the abdominal cavity after rupture of the ovary (ovarian
apoplexy) do not wash out, as during laparoscopy, remain in the abdominal
cavity, where they are organized and contribute to the formation of an
adhesion process in the small pelvis.
Conservative treatment can be recommended only to women who have already
realized their reproductive function (that is, already having children and not
planning to have them) if they have a mild form of ovarian apoplexy.
Surgical treatment is the main, because not only allows you to clarify the
diagnosis, but also to conduct a full correction.
The only contraindication to the use of this access is a hemorrhagic shock (that
is, very large blood loss with loss of consciousness).
The operation must be carried out in the gentlest way with the preservation of
the ovary.
pulsed ultrasound.
During the course of anti-inflammatory therapy and for another 1 month after
the end, contraception is recommended, and the question of its duration is
decided individually, depending on the age of the patient and the characteristics
of her reproductive function. Of course, one should take into account the
woman’s desire to maintain reproductive function. The duration of hormonal
contraception is also strictly individual, but usually it should not be less than 6
months after surgery.
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