What to do if a corpus luteum cyst ruptures
Release time : 07/04/2025 09:30:02
Speaking of lutein cyst rupture, many people do not know what the disease is, so when they have it in life, they do not know what to do. Therefore, we must pay attention to the disease in daily life, so as to better protect our own health.
Let's take a look at what to do if a luteal cyst ruptures and the causes of such a condition.
What should be done if lutein cysts burst? The incidence of lutein cysts is relatively high, and once they occur, women must seek timely treatment. So, what should be done when a lutein cyst bursts? 1. A rupture of lutein cysts carries a certain risk. Most lutein cyst ruptures occur during the 20th to the 26th day of the menstrual cycle. They may cause lower abdominal pain, with varying degrees of severity. If the right ovary ruptures, it resembles an appendicitis, with symptoms such as refusal to press on, similar to those seen in appendicitis. This often leads to misdiagnosis.
Some patients with cysts of the corpus luteum are even mistaken for appendicitis and subjected to laparotomy.
When the appendix is innocent, blood may be found in the abdomen and an enlarged ovary may be present with hemorrhage. It is immediately advisable to perform an oophorectomy rather than delaying the management of the luteinizing cyst.
2. Surgical treatment is indicated for patients with ruptured hemorrhagic adenomyomatosis.
If shock occurs, then active antishock surgery should be performed simultaneously.
The principle of surgical selection is to preserve as much ovarian function as possible, and a ovarian wedge resection can be performed. The tissue removed should be sent for pathological examination.
For shock surgery incision, the straight abdominal incision should be used.
Laparoscopic surgery is also feasible.
Absorb abdominal bleeding, laser or coagulation to stop bleeding and correct postoperative anemia.
3. Following the rupture of a corpus luteum cyst, especially following medical treatment, it is crucial to prevent postoperative adhesion or even residual ovarian syndrome. The ruptured ovary should be repaired while also paying attention to the removal of the ovarian corpus cavity or its large part, ensuring there is no inflammation or adhesion, and that the ovarian endocrine function is preserved.
The cause of the rupture of a luteal cyst is not well understood. Ovaries are the female's reproductive organs and once they are affected, it will seriously affect their health. However, in daily life, many people do not know how to identify the causes of diseases.
What are the causes of rupture in a luteal cyst? During the development of the female ovary, if the small blood vessels on the surface of the ovary are damaged, then bleeding within the luteal sac and increased intra-sac pressure lead to rupture.
Adenomyomas are more commonly found in the final week of the menstrual cycle, that is, within 1 week prior to the next menstrual cramp.
Due to the presence of a corpus luteum cyst within the abdominal cavity, blood flow into the abdominal cavity can cause a series of symptoms associated with the rupture of the corpus luteum, accompanied by symptoms of abdominal pain.
If the damaged blood vessel is very large, and there is too much bleeding to heal on its own, symptoms such as dizziness, fatigue, palpitations, and even shock may occur.
At this juncture, it is necessary to surgically rupture the ruptured blood vessels to save the life.
The general structure of the ovary is solid, but there can be many changes including non-tumor cysts and proliferative or neoplastic lesions as well as various tumors.
Due to the influence of the autonomic nervous system, changes in ovarian function or over-enhanced ovarian enzyme system function may lead to hemorrhagic disorders and bleeding tendency.
It can occur spontaneously or be influenced by external force or trauma, which may lead to ovarian rupture. It can also be categorized as physiological or pathological rupture.
Is the rupture of a corpus luteum囊肿 serious? The severity of a corpus luteum cyst rupture is not widely known, making it challenging to effectively treat the condition without being aware of it.
Therefore, it is necessary to understand the situation of atrophic cyst rupture.
During the angiogenesis of the corpus luteum, rupture is prone.
It usually starts with internal bleeding and increases intracavitary pressure, leading to rupture and hemorrhage.
The original blood disease resulted in dysregulation of coagulation function, leading to bleeding and difficulty in hemostasis.
Additionally, trauma to the ovary, direct or indirect external force, pyelitis, and congestion of the ovary and uterus can all lead to the rupture of a corpus luteum cyst.
Assisted reproductive technology involves insemination of the ovary or uterus with a follicular fluid sample from an abdominal or vaginal follicular aspiration, resulting in rupture of the oocyte.
Polycystic ovary syndrome (PCOS) can lead to multiple ruptures of the ovaries, including multiple layers of the skin and perforation of the medullary tissue, due to the condition's characteristic ovarian enlargement and cyst formation.
Ovarian section, wedge resection and many other iatrogenic diseases can lead to ovarian rupture, so ovarian rupture is not all bad. In many cases it is a part of the diagnosis and treatment.
How can a lutein cyst rupture be diagnosed? Once a lutein cyst rupture occurs, many people are treated immediately. Therefore, many people believe that this is a very easy disease to treat.
However, for those who missed the optimal treatment period, the disease is a serious matter and it is important to seek timely diagnosis, examination, and treatment at a hospital.
1. In cases of ectopic pregnancy or miscarriage, abdominal pain or slight vaginal bleeding may be accompanied by hemorrhagic signs similar to those of a ruptured or miscarried corpus luteum cyst, but the former often presents with symptoms of menopause, while the primary manifestation of pregnancy is an elevated urine hCG level for differentiation.
2. Acute appendicitis presents with 转移al right lower abdominal pain and marked peritoneal irritation signs, without any signs of intraperitoneal hemorrhage. It can be differentiated from gynecological examinations by neck pain.
3. Examinations: Blood work showed a decrease in hemoglobin.
A negative blood or urine hCG test, but a positive hCG if pregnancy ruptures the corpus luteum.
(2) Other auxiliary examinations: B-mode ultrasound revealed enlarged adnexal mass in the affected side, and ascites.
The cerebrospinal fluid from the posterior fossa puncture was dark red.
Laparoscopic examination reveals ruptured ovaries with active bleeding.
What is the treatment for rupture of corpus luteum cyst? After the rupture of the corpus luteum cyst, timely treatment is necessary. If it is missed, it may affect future fertility issues. So, what is the treatment for rupture of corpus luteum cyst? 1. Conservative treatment with minimal bleeding involves bed rest and the application of hemostatic drugs.
2. Surgical treatment is suitable for patients with excessive bleeding, and if there is shock, active anti-shock surgery should be performed simultaneously.
The principle of surgical choice is to preserve as much ovarian function as possible and feasible ovariotomy. The excised tissue should be sent for pathological examination. For shock following the incision, a lower midline incision should be adopted. Laparoscopic surgery can also evacuate intra-abdominal hemorrhage, employ laser or coagulation to stop bleeding, and correct anemia.
The medical information provided in this text is for reference only.
Should you experience discomfort, it is recommended that you seek medical attention immediately. The diagnosis and treatment of such conditions should be based on clinical examinations conducted by a doctor in person.