apoplexy of the ovary - is the sudden rupture of the ovary, which is accompanied by severe pain and bleeding into the abdominal cavity.Clinic develops acute abdomen.Apoplexy ovary requires differential diagnosis with surgical diseases such as appendicitis, peritonitis and others.
- 1 Causes of ovarian apoplexy
- 2 Symptoms of ovarian apoplexy
- 3 Treatment of ovarian apoplexy
- 4 consequences of ovarian apoplexy
Causes of ovarian apoplexy
in the normal menstrual cycle occurs in the ovaries maturation and growth of follicles, which makes it possible to get pregnant.After the termination of the last menstrual period in the ovary starts a new cycle of development of the follicle: formed one dominant, which inhibits the growth of all the others.Then the follicle bursts and releases an egg ready for fertilization.And in the place where the burst follicle forms the corpus luteum, which becomes the first pregnancy occurs when the power source of the future ba
arises pathological condition In case of violation of this process.
So, among the reasons that can cause ovarian apoplexy, are the following:
Among domestic release:
- inflammatory changes in the pelvis, which cause changes in the ovaries;
- blood disorders that manifest a decrease in blood clotting;
- varicose ovarian veins;
- hormonal disorders of the female body.
External factors contributing to the development of the pathology:
- medication, anticoagulants, which cause a reduction in blood clotting;
- stressful situations;
- neuro-psychological factors.
As a result of all the above factors, dystrophic and sclerotic changes in the ovaries.Because of this, after the rupture of the follicle vessels are not able to cut adequately, which causes bleeding continued, and in the corpus luteum and the blood flows out, which causes the corpus luteum formation of haematomas.
Symptoms of ovarian apoplexy
There are three forms of ovarian apoplexy:
When pain form of ovarian apoplexy has very severe pain, but there are no signs of abdominal bleeding.
When anemic form of ovarian apoplexy, there are signs of internal bleeding but no pain syndrome.
When mixed form ovarian apoplexy, there are signs of internal bleeding and severe pain.
However, this classification is rather conditional, since apoplexy as a result of rupture of the ovary, in any case there is internal bleeding.
That is why currently accepted classification based on the amount of blood loss:
- mild - the amount of blood loss does not exceed 150 ml;
- average degree of - 150 to 500 ml;
- severe degree of blood loss - more than 500 ml.
Clinic apoplexy ovary depend on its shape.If a woman has painful form of ovarian rupture, the clinic will begin with a sudden sharp pain in the abdomen.This will hurt from ovarian rupture.In addition, there are pains in the middle of the menstrual cycle, which is an important distinctive feature of the pathology of other diseases.Pain form is very often confused with acute appendicitis by doctors, resulting in an erroneous operation can be done.If
come first signs of internal bleeding, the women tend to complaints of general weakness, dizziness, possible fainting, breathlessness appearance.The woman is pale, it is possible akrotsianoz lips, nose, ears, fingertips.The skin is cold to the touch.Morbidity can be present, but not as pronounced as in the form of pain.
When mixed form can identify complaints that are typical for the pain, and for the mixed form of ovarian apoplexy.
For internal bleeding following symptoms may be characterized by:
- decrease in blood pressure, which is why there are fainting, dizziness;
- increase in heart rate as well as blood goes beyond the vessels and the heart has to give more blood to all the organs and systems;
- general weakness, dizziness;
- chills or fever higher than 380 C.;
- nausea, vomiting;
- dry mouth.
Treatment of ovarian apoplexy
Like many diseases, ovarian apoplexy treated by two methods: the conservative and operative.
Conservative treatment is possible only with mild blood loss, without significant clinical symptoms and complaints from women, or if there are contraindications for surgery.
Surgical treatment is the primary and radical method of treatment of ovarian rupture.
most commonly used for surgical laparoscopy method.This avoids unnecessary scar after surgery, which makes this an attractive method of treatment for most women.With this method of treatment, make three small incisions, two side and one in the navel.After surgery, they are virtually invisible.
If laparoscopically can not stop the bleeding, then make a midline incision - lapatrotomiyu.
operation can be conserving or ovariectomized.In all cases, they seek to make sparing surgery, as the ovary - is the hormone-producing organ.
consequences of ovarian apoplexy
If ovarian apoplexy had not expressed clinical symptoms, or the wrong diagnosis was, or whether treatment was inadequate may develop adhesions, ie attachment of the ovary to the intestinal loops, or any other organs.
As a rule, in the presence of pain a woman full recovery, since it refers to a doctor in a timely manner.
But if anemic forms of ovarian apoplexy may develop serious consequences because of the internal bleeding that can not be recognized or detected late, when significant blood loss.
Thus, in order to save their lives in safety, you should not self-medicate.At the first sign of the disease is an urgent need to see a doctor.