#ovariancystrupture The true incidence of ruptured ovarian cysts is not known and is most likely to occur in patients of reproductive age. ✔️Symptoms: The classic presentation is the sudden onset of unilateral, lower abdominal pain, often following strenuous physical activity such as sexual intercourse or exercise. A history of ovarian cysts, or a known current ovarian cyst, should raise suspicion for rupture. The pain is sharp and if blood is in your abdomen you could feel shoulder pain or upper abdominal pain due to a nerve that travels to the diaphragm. So this video shows the rupture of a hemorrhagic cyst or blood-filled cyst. But of course, the simple cysts that contain watery fluid or serous fluid can also rupture. Serous fluids are not typically irritating. By contrast, rupture of a hemorrhagic cyst is often associated with pain; this may be due to blood accumulating in the ovary and stretching the ovarian surface, or blood flowing into the abdomen and irritating the peritoneum or thin layer that covers our organs. Remember in the last reel we talked about the rupture of a follicular cyst with every ovulatory cycle. This cyclic event is generally asymptomatic or associated with mild mid-cycle pain, likely due to the release of a small amount of blood with follicular capsule rupture. Also, the rupture of a dermoid cyst with spillage of the material contained in the cyst can cause inflammation of the peritoneum and can be quite painful. ✔️Management: Most patients with ovarian cyst rupture have an uncomplicated course if their pain can be controlled and they are not showing signs of active blood loss. Complicated cases though can require surgery. ✔️One cool fact: One study showed that the right ovary is more commonly affected, possibly because the colon protects the left ovary from abdominal trauma or during intercourse. Thanks colon! Dr. Montes 💛 #boardcertifiedobgyn