CT manifestations of ruptured corpus luteum cyst
Release time : 07/06/2025 09:30:01
In everyday life, the female behavior is very fragile, therefore the health problems of women are always an important topic.
An ovarian cyst rupture is a common gynecological condition, and in the event of such an occurrence, it is imperative to promptly undergo examinations and seek treatment.
Let's now understand the cyst rupture CT manifestations and what to do if a corpus luteum cyst rupture occurs. The cyst rupture of the corpus luteum is generally diagnosed through examination, which is usually carried out as recommended by a doctor. So, what are the CT manifestations of a corpus luteum cyst rupture? A corpus luteum rupture is an emergency that requires prompt attention.
It can cause sudden lower abdominal pain.
In a short period of time, it will develop into a persistent lower abdomen, and then the symptoms of pain will begin to decrease, only to get worse later.
These symptoms are typical signs of a ruptured corpus luteum.
By asking patients detailed questions about their own feelings, they can provide doctors with diagnostic evidence.
Generally speaking, this can occur as a normal occurrence, or it may happen in patients with cystic hydatid disease.
Patients with this condition may seek medical attention for relevant examinations, such as a blood test, which may reveal anemia.
The HCG blood or urine test result is negative, but if there is an ectopic pregnancy with a corpus luteum rupture, the CT examination may be positive.
An ovulation can occur spontaneously or be induced by force.
We can also perform checks using other accessories.
For example, an ultrasound examination can reveal an enlarged ovary on one side and significant peritoneal effusion.
Posterior hemorrhoid puncture may reveal dark red, non-coagulable blood.
Laparoscopic examination can reveal significant active bleeding following rupture of the corpus luteum.
What to do if a corpus luteum cyst ruptures? The incidence of corpus luteum cysts is relatively high, and once they occur, timely treatment is necessary. So, how is a ruptured corpus luteum cyst treated? 1. Rupture of a corpus luteum cyst carries certain risks. Most ruptures occur between the 20th and 26th days of the menstrual cycle and may cause lower abdominal pain, with the severity of the condition varying.
If the right ovary ruptures, it is similar to the symptoms of acute appendicitis with gradually worsening abdominal pain and refusal to press. It is often misdiagnosed as appendicitis.
Some patients with lutein cysts are even deemed to have appendicitis and subjected to an open abdominal operation.
When the appendix is innocent, abdominal blood can be detected. Ovarian enlargement and hemorrhage occur, with immediate surgical intervention for ovarian repair. Luteal cysts generally do not delay treatment.
2. Surgical treatment of patients with hemorrhagic luteal cyst rupture.
If shock occurs, the patient should be given immediate antishock surgery.
The principle of surgical selection is to preserve ovarian function as much as possible.
Performing an ovarian wedge resection and excising the tissue for pathological examination is feasible.
For the surgical incision, a straight abdominal incision should be used.
Laparoscopic surgery is also feasible.
Absorb abdominal hemorrhage, use laser or coagulation to stop bleeding and correct postoperative anemia.
3. After the rupture of a corpus luteum cyst, especially after medical intervention, preventive treatment should be avoided in the later stages, to prevent adhesions and even residual ovarian syndrome. It is also important to repair the ruptured ovary, as well as patients who undergo partial pelvic resection or post-corpus luteum cyst nephrectomy without inflammation or adhesions, to ensure normal ovarian endocrine function.
The causes of lutein cyst rupture are significant in the health of individuals. Understanding these causes allows women to promptly pay attention to any changes in their bodies. So, what are the causes of lutein cyst rupture? During the follicular phase of a woman's menstrual cycle, if the blood vessels on the surface of the ovary are damaged, blood from the red cells will flow out, increasing internal pressure, and leading to rupture.
The luteal cyst mainly occurs in the last week of the menstrual cycle, i.e., within 1 week before the next menstrual cycle.
Due to the presence of lutein cysts in the abdominal cavity, blood flow into the abdominal cavity can cause a series of symptoms associated with rupture of the corpus luteum, including abdominal pain.
If the damaged blood vessel is large, there will be too much bleeding and it will not heal. It may also cause dizziness, fatigue, palpitations and even shock.
At this point, it is necessary to perform surgery to rupture the ruptured blood vessels in order to save life.
The general structure of the ovary is solid, but it can be many different. For example, non-neoplastic cysts and proliferative or neoplastic disease as well as various tumors.
Due to the influence of the autonomic nervous system, changes in ovarian function or excessive enhancement of the ovarian enzyme system may lead to disorders in hemostasis and tendency to bleed.
It can occur spontaneously or be influenced by external causes or medical intervention, which may lead to ovarian rupture. It is also divided into physiological and pathological ruptures.
Is the rupture of a corpus luteum cyst serious? Many people are not aware of the severity of the rupture of a corpus luteum cyst, and even if it is discovered, treatment will not be timely.
Next, let's take a look at the severity of rupture of the corpus luteum cyst.
In the process of luteal angiogenesis, it is prone to rupture.
It usually starts from an internal hemorrhage that increases the pressure within the sac, leading to rupture and bleeding.
Hemophilia causes coagulation dysfunction, bleeding and hemostasis.
Additionally, trauma, direct or indirect external force on the ovary, pyosalpinx, and ovarian uterine congestion are all factors that can cause the rupture of an lutein cyst.
Assisted reproductive techniques can cause the egg to rupture from a puncture made through the abdominal or vaginal hair follicle.
Polycystic ovary syndrome and pelvic incision or laparoscopic ovulation can be caused by the multiple layers of cortex in the ovaries.
Ovarian autopsy, wedge resection and many other medical conditions can lead to ovarian rupture, therefore in many cases ovarian rupture is not always bad and as part of the diagnostic treatment.
How is lutein cyst rupture diagnosed? Lutein cyst rupture should be treated promptly once it occurs, and diagnosis of lutein cyst rupture is typically determined by a physician. Many people receive treatment immediately, leading to the belief that this condition is highly treatable.
However, for those who miss the optimal treatment period, the disease is a serious matter, and it is necessary to receive timely diagnosis and treatment from the hospital.
1. In cases of ectopic pregnancy with rupture or miscarriage, symptoms such as abdominal pain or minimal vaginal bleeding may be similar to those of hemorrhagic conditions associated with a luteinized cyst rupture, but the former typically presents in women in menopause and is primarily distinguished by the presence of pregnancy test results.
2. Acute appendicitis with right lower abdominal pain and tenderness, without signs of intraperitoneal hemorrhage, can differentiate from neck pain in gynecological examinations.
3. Examination: Laboratory tests: Hematologic examination shows a decrease in hemoglobin; blood or urine HCG measurements are negative, but if a pregnancy luteal rupture occurs, the HCG may be positive.
(2) Other auxiliary examinations: Ultrasound examination revealed enlargement of the affected ovary and ascites; blood in a dark red color was not reduced by the iliac spine; laparoscopic examination showed active rupture of the ovary.
The medical information provided in this text is for reference only.
In case of discomfort, it is advised to seek immediate medical attention for accurate diagnosis and treatment.