Mantecon Olivia, George Andrew, DeGeorge Charlotte, McCauley Emily, Mangal Rohan, Stead Thor S, Peplinski Bryna, Ganti Latha
Biology, Trinity Preparatory School, Winter Park, USA.
Pathology and Laboratory Medicine, Division of Biology and Medicine, Brown University, Providence, USA.
Cureus. 2022 Sep 20;14(9):e29350. doi: 10.7759/cureus.29350. eCollection 2022 Sep.
Despite the relatively high incidence of ovarian cysts, particularly in premenopausal women, cyst rupture may on occasion present painfully and require surgical intervention to resolve. Particularly in the case of ruptured hemorrhagic ovarian cysts, resulting hemoperitoneum can create a risk of further adverse events including hypovolemic shock; proper identification and management of such cases are therefore critical. This case focuses on a 22-year-old female that presented to the emergency department (ED) with suprapubic pain in the lower left quadrant of the abdomen. Ultrasonography and computed tomography of the abdomen and pelvis revealed a ruptured hemorrhagic corpus luteum cyst of the left ovary and secondary hemoperitoneum. Patient treatment required laparoscopic left ovarian cyst wall removal, with the removal of hemoperitoneum.
尽管卵巢囊肿的发病率相对较高,尤其是在绝经前女性中,但囊肿破裂有时可能会引起疼痛,需要手术干预来解决。特别是在出血性卵巢囊肿破裂的情况下,由此导致的腹腔积血会带来包括低血容量性休克在内的进一步不良事件的风险;因此,对此类病例进行正确的识别和处理至关重要。本病例聚焦于一名22岁女性,她因下腹部左下腹耻骨上疼痛就诊于急诊科。腹部和盆腔的超声检查及计算机断层扫描显示左卵巢黄体囊肿破裂并继发腹腔积血。患者的治疗需要通过腹腔镜切除左卵巢囊肿壁,并清除腹腔积血。