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Complications of a Ruptured Ovarian Cyst

The most common problem with diagnosing a ruptured ovarian cyst is that the major symptom is similar to the occurrence of a normal cyst. This means that the pain is centered around the pelvic area.

For most women, an ovarian cyst will develop without symptoms and disappear without the need for any medical intervention. However, it is also possible that serious complications can arise, and these include a ruptured ovarian cyst, or the twisting or pressure on nearby organs.

After a cyst ruptures, the abdomen will be swollen and tender to the touch. It is also possible for ruptured cysts to be connected to hemorrhage. This in turn results in abdominal pain and bloating, especially if the person going through the ordeal is taking anticoagulant medications such as Warfarin. There are also cases where a person with a ruptured cyst may experience anemia or pallor, which shows blood loss or possible internal bleeding. If there is internal bleeding, surgery may be necessary to stem the blood flow and remove the blood from the abdominal cavity.

In addition to pain, other more common symptoms of a ruptured ovarian cyst include fever, nausea and/or vomiting, weakness, dizziness or fainting. If these symptoms are present, you will need to seek medical attention immediately because they could be signs of internal bleeding.

The major complication of a ruptured ovarian cyst includes the twisting of the ovary (due to the location and size of the cyst), which may result in infertility. This condition (also referred to torsion) usually occurs if the cyst is accompanied by a tumor which can restrict the blood supply to the ovary and kill the ovarian tissue (this affects the chances of getting pregnant in the future). A twisted ovary will require a surgical remedy. Most doctors prefer to use an open-abdomen surgery for a twisted ovary compared with a laparoscopic method.

Another complication is that the leakage of cystic fluid into the abdominal cavity can cause sepsis or hemorrhagic complications. In most cases, the right ovary experiences hemorrhagic complications compared with the left because the left ovary is partly cushioned by the large bowel, preventing damage from twisting. Like a twisted ovary, hemorrhage complication will also a surgical remedy to either stop the bleeding, or remove the hemorrhaged matter.

On the long-term ramifications of a ruptured ovarian cyst, scarring or adhesions can happen and should the scarring occur on the ovaries, the ovaries will have limited capacity to release eggs and this can lead to permanent infertility.

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