A Case of Hemorrhagic Ovarian Cyst Rupture Necessitating Surgical Intervention

Mantecon, Olivia; George, Andrew; DeGeorge, Charlotte; McCauley, Emily; Mangal, Rohan; Stead, Thor S; Peplinski, Bryna; Ganti, Latha

doi:10.7759/cureus.29350

Cited by 4 publications

(3 citation statements)

References 7 publications

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Section: Discussionmentioning

confidence: 99%

“…The clinical significance lies in the potential for these cysts to cause discomfort, pain, and menstrual irregularities, thereby impacting the quality of life and reproductive potential of affected individuals. 6 The rationale for study design: The chosen study design, an interventional two-arm parallel comparative study, is apt for evaluating the relative efficacy and safety of COC and dydrogesterone. This design allows for direct comparison between the two treatments, enabling researchers to draw meaningful conclusions about their merits.…”

Section: Discussionmentioning

confidence: 99%

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Hospital-based interventional two-arm parallel comparative study on dydrogesterone vs combined oral contraceptive pills for functional ovarian cysts

Shaikh,

Acharya

2024

F1000Res

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Background Functional ovarian cysts are common among women of reproductive age, often necessitating medical intervention. This hospital-based interventional study compares the efficacy and safety of combined oral contraceptive pills (COC) and dydrogesterone in managing functional ovarian cysts. Methods This randomized controlled trial will be conducted over two years at the Department of Obstetrics & Gynecology, AVBRH, Datta Meghe Institute of Medical Sciences. The study population consists of reproductive-age women seeking care at the outpatient unit of Obstetrics and Gynecology at AVBRH hospital. The sample size of 46 participants per group has been calculated based on a 95% confidence interval and the estimated prevalence of functional ovarian cysts. Group A will receive low-dose COC for three menstrual cycles. At the same time, Group B will be administered dydrogesterone (10 mg twice daily) for ten days during the luteal phase, repeated across three cycles. Expected outcomes The primary outcomes include evaluating the recession of cysts within three months, monitoring alterations in menstrual patterns (frequency, regularity, duration, and volume), assessing the necessary treatment duration, and observing potential side effects (e.g., nausea, vomiting, weight gain, and acne) and complications (e.g., thromboembolism, delayed menstrual cycles post-treatment, and interactions with other drugs). Data analysis will encompass descriptive statistics, comparative tests, and regression models to assess the primary outcomes. The significance level for hypothesis testing will be 0.05 with a two-tailed approach. Registration CTRI/2023/04/051811.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hospital-based interventional two-arm parallel comparative study on dydrogesterone vs combined oral contraceptive pills for functional ovarian cysts

Shaikh,

Acharya

2024

F1000Res

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“…An ovarian cyst, a common tumor of the female reproductive system, is caused by an abnormal endocrine system or genetic factors (1,2). It has an incidence rate of 1.3-24.0%, with more than 90% being benign tumors (3,4). Physiological ovarian cysts generally have no specific symptoms, except for complications, such as torsion and rupture, and do not require any special treatment (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Transvaginal natural orifice endoscopic surgery for ovarian cystectomy: a more suitable surgical approach for the day-care procedure

Xie

Huang

et al. 2023

Front. Med.

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IntroductionAlthough previous studies have shown that vaginal natural orifice transluminal endoscopic surgery (vNOTES) has the advantages of causing less pain, faster recovery, and better concealment of surgical incisions, which aligns with the concept of the day-care procedure, this approach poses a greater risk of damaging adjacent organs (i. e., rectum and bladder) due to its anatomical specificity. Moreover, the day-care procedure may lead to relatively less preoperative evaluation and postoperative care. Hence, it is necessary to explore the safety and effectiveness of vNOTES for ovarian cystectomy in the day-care procedure, to provide a theoretical basis for the wider development of vNOTES surgery.Materials and methodsThis retrospective study included 131 patients at our hospital who underwent ovarian cystectomy from September 2021 to October 2022. Based on the surgical approach, patients were classified into transumbilical laparoendoscopic single-site surgery (LESS) and vNOTES groups. The patients' demographic characteristics and follow-up data were collected during the perioperative period and 1-month postoperatively.ResultsVaginal natural orifice transluminal endoscopic surgery has less postoperative exhaust time, a lower postoperative 6-hour pain score, and a lower incidence of analgesic drug use, with higher surgical conversion incidence. Multiple linear regression analysis showed that the surgical conversion, chocolate cyst, bilateral cyst, and pelvic adhesion increased the operation duration by ~43 (95% CI: 10.309, 68.152, p < 0.001), 15 (95% CI: 6.342, 45.961, p = 0.036), 10 (95% CI: 3.07, 40.166, p = 0.019), and 8 (95% CI: 4.555, 26.779, p = 0.035) min, respectively. Interestingly, vNOTES decreased the operation duration by ~8.5 min (95% CI: −18.313, −2.699, p = 0.033).ConclusionVaginal natural orifice transluminal endoscopic surgery was equally safe and effective for ovarian cystectomy compared to LESS. vNOTES aligned with the concept of the day-care procedure due to its reduced postoperative pain, shorter exhaust time, and absence of scarring. However, surgeons should conduct a comprehensive preoperative evaluation and exclude patients suspected to have severe pelvic adhesions.

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Interwoven ovarian complications: A case report on dual cysts and torsion

Yuktha,

Nayak U

2024

IJMPO

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Ovarian dermoid cysts or mature cystic teratomas are benign ovarian germ cell tumours most seen in the 3rd and 4th decades of life. These tumours contain tissue from the ectoderm, mesoderm and endoderm. Haemorrhagic ovarian cysts occur when blood accumulates in a corpus luteum or follicular cyst. Ovarian torsion involves the twisting of an ovary on its ligamentous attachments reducing its blood supply. A 22-year-old unmarried nulligravida presented with sudden, severe right lower abdominal pain and vomiting. Ultrasound (USG) and other investigations were performed. Elevated CA 19-9 levels raised concerns about malignancy. Differential diagnoses included gastrointestinal cancers, appendicitis with secondary ovarian involvement, ruptured ovarian cyst and ovarian torsion with a cystic mass. USG showed a right ovarian dermoid cyst measuring 5.1 x 4.3cm with partial torsion and a left haemorrhagic cyst measuring 3.1 x 8cm. The patient underwent laparoscopic right oophorectomy and left cystectomy under spinal anaesthesia. Tumour markers (CA 125, AFP, β-hcg, LDH and CEA) were normal. Histopathology confirmed a benign ovarian dermoid cyst, ruling out malignancy. The occurrence of Ovarian dermoid cyst is less than 20%, ovarian torsion occurs in 15% of these cases. Haemorrhagic ovarian cysts occur in about 5-10% of ovarian cysts. Ca 19-9 is raised in GI malignancies and conditions. In ovarian pathologies, it is not well documented and relatively rare. This case underscores the importance of rapid diagnosis and multidisciplinary approach and intervention in rare ovarian conditions, especially in young women where fertility preservation is crucial.

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A Case of Hemorrhagic Ovarian Cyst Rupture Necessitating Surgical Intervention

Cited by 4 publications

References 7 publications

Hospital-based interventional two-arm parallel comparative study on dydrogesterone vs combined oral contraceptive pills for functional ovarian cysts

Hospital-based interventional two-arm parallel comparative study on dydrogesterone vs combined oral contraceptive pills for functional ovarian cysts

Transvaginal natural orifice endoscopic surgery for ovarian cystectomy: a more suitable surgical approach for the day-care procedure

Interwoven ovarian complications: A case report on dual cysts and torsion

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