Treatment of ruptured corpus luteum cyst
Release time : 07/06/2025 09:30:01
Corpus luteum cyst rupture is a type of ovarian rupture, which can occur naturally or be caused by trauma.
Traumatic rupture of the corpus luteum often results from abdominal impact, sexual intercourse, and colposcopic biopsy procedures.
After the rupture of a cyst, the contents within the cyst flow into the abdominal cavity, causing symptoms of peritoneal irritation and varying degrees of shock. This is an emergency in gynecology.
An ovarian rupture occurs when the corpus luteum or mature follicles within the ovaries rupture due to some cause, leading to bleeding. In severe cases, this can result in massive intra-abdominal hemorrhage.
There are two types of rupture: ovulation and the rupture of a corpus luteum or lutein cyst.
Can occur in both married and single women, with pregnant women being the most common.
When a luteal cyst rupture occurs, there are generally two treatment approaches: conservative management and surgical intervention.
1. Symptomatic Treatment: This treatment approach is suitable for patients with mild symptoms, typically involves bed rest and close observation. It may also include the administration of traditional Chinese medicines that primarily act on promoting blood circulation and removing blood stasis and breaking up hard masses, with the option to increase antipyretic and detoxifying medications according to the patient's actual condition.
2. Surgical Treatment: This method is applicable to patients with excessive internal bleeding and symptoms of shock, who are in critical condition. It is imperative that surgery be carried out immediately to prevent delaying the optimal treatment period.
The etiology of a lutein cyst rupture includes spontaneous rupture or rupture following severe trauma.
Let's introduce you to the specific causes of a ruptured adenomyoma.
1. Ovarian function changes: Excessive cold or hot baths, long-term use of estrogen and progesterone, or disturbances in the plant nervous system can all lead to overactive ovarian enzyme systems, resulting in a tendency to bleed or coagulation disorders.
Ovarian rupture: Vigorous exercise, lifting heavy objects, and abdominal compression can all cause ovarian rupture. Symptoms include lower abdominal pain and may even extend to the entire abdomen.
3. Ovarian congestion: Ovarian cyst rupture can be caused by conditions such as uterine prolapse, pelvic inflammation, and acute or chronic appendicitis, which can lead to ovarian congestion.
4. Blood Changes: Prior to menstruation, patients may experience partial damage to platelets and alterations in blood components due to infectious diseases, anemia, and malnutrition, leading to bleeding and ultimately causing the rupture of the corpus luteum cyst.
Ovarian rupture is different from other organ ruptures in the body.
The rupture of other organs is often due to external trauma, although external causes can also cause ovarian rupture. However, in most cases, it is a spontaneous rupture form.
Symptoms and Signs of ruptured adenomyoma: Rupture of the adenomyoma is often difficult to diagnose due to its lack of characteristic symptoms, and it frequently occurs on the right side of the abdomen, making it easily confused with acute appendicitis or ectopic pregnancy.
To make a correct diagnosis, the most crucial thing is to carefully inquire about the patient's menstrual history and combine this with clinical manifestations and examinations to comprehensively analyze.
The rupture time of a corpus luteum cyst is related to the patient's menstrual cycle and can serve as the primary basis for diagnosis.
80% of lutein or corpus luteum ruptures occur around the time of ovulation, and most commonly within 1 week after ovulation. They can also occur during the end of the menstrual cycle, typically within about 2 days before menstruation begins.
Patients with atrophic luteal cyst rupture generally do not have a history of irregular menstrual periods or amenorrhea. Over half of these patients experience the condition during the middle or premenstrual period, presenting with sudden and severe abdominal pain that rapidly evolves into persistent lower abdominal discomfort. Subsequently, the pain may subside or intensify, occasionally accompanied by nausea and vomiting. Generally, there is no vaginal bleeding. In cases where intra-abdominal hemorrhage is severe, symptoms of shock may occur.
In cases of mild rupture, patients may only experience mild tenderness in the lower abdomen. The site often involves pressure points on the right side, located inferior to the Majesty's point and at a lower level.
Patient with severe condition, abdominal tenderness is obvious, accompanied by rebound pain, but the phenomenon of abdominal rigidity has not been as marked as in peritonitis.
The patient experiences tenderness in the cervix, with tenderness in the anterior part of the cervical os and a sensation of pain upon palpation. The uterus is of normal size, and the pain intensifies when the uterus is moved.
When excessive internal bleeding occurs, it can be clearly felt in the adnexal area or posterior pelvis, and at times, an enlarged ovary may be palpable.
Diagnosis of rupture of Corpus Luteum Cyst: The clinical symptoms are not obvious, and it is often confused with acute appendicitis, rupture or miscarriage of tubal pregnancy.
1. Acute appendicitis: Pelvic cyst rupture often occurs on the right side, and it is often misdiagnosed as acute appendicitis.
The onset point of acute appendicitis is often upper abdominal pain or generalized abdominal pain, which gradually becomes localized to the McBurney point. Nausea and vomiting are prominent symptoms, tenderness, rebound tenderness, and spasmodic contraction of the abdominal muscles are all quite evident.
Acute appendicitis presents with mild tenderness in the cervix and uterus, but ovarian rupture is the opposite.
2. Ovarian cyst rupture or abortion: Luteal cyst rupture can also easily be misdiagnosed as a ruptured ectopic pregnancy or miscarriage. However, if one carefully inquires about the patient's menstrual history and pays attention to the timing of the lesion occurring during the menstrual cycle, it is generally possible to distinguish between these conditions.
Patients with ectopic pregnancy often present with a history of temporary amenorrhea, spotting from time to time, abdominal pain recurrently, significant pelvic tenderness, and palpable masses.
Yellow body cyst rupture diet considerations: Ovarian rupture is a common gynecological condition in women of childbearing age, generally categorized into follicular rupture and luteal rupture.
Ovarian corpus luteum rupture is associated with a certain degree of risk and occurs primarily during the 20th to 26th day of the menstrual cycle.
What dietary precautions should be taken for ovarian rupture? 1. It is advisable to consume a diet that is light in color, enriched with sufficient nutrients, and correct any misconceptions or unreasonable dietary habits. Additionally, avoid consuming spicy foods and seafood.
Consume more milk, spinach, shiitake mushrooms, lean meat, eggs, carp, apples, peanuts, black rice and other fruits and vegetables.
2. After surgery, it is advisable to consume more protein, such as eggs, while also drinking more milk and consuming more chicken, fish, vegetables, and fruits to supplement vitamins E and B2, which are beneficial for nourishing the ovaries and restoring body resistance.
In summary, patients must seek immediate medical attention after the onset of ovarian corpus luteum rupture. It is crucial not to self-medicate with painkillers without consulting a doctor; this could obscure symptoms and delay proper diagnosis, potentially missing the optimal treatment window.
*The medical content mentioned in this text is for reference only.
If you feel unwell, it is recommended to seek medical attention immediately. Please consult a healthcare professional in person for accurate diagnosis and treatment.