c l i n i c a l f o l i o s : d i s c u s s i o n

Ovarian Cysts



Related narrative: Massive Hemorrhage from an Ovarian Cyst

Functional ovarian cysts (follicular and corpus luteal) in women of child bearing age have the potential to bleed and rupture. Corpus luteum cysts tend to be larger and more vascular, and may cause massive life threatening hemorrhage. In a stable patient, CT may help make the diagnosis, but is not highly reliable. In an unstable patient, urgent laparotomy is indicated. An ovarian source of bleeding is often not suspected, especially after the patient has had recent surgery. Ruptured tubal ectopic is usually higher on the differential than ovarian cyst. Reports of bleeding cysts in patients with inherent or iatrogenic coagulopathies all suggest that young women with these conditions be considered for ovarian supression.


Gynecologic causes of the acute abdomen and the acute abdomen in pregnancy, Hector M. Tarraza MD, Robert D. Moore DO, Surgical Clinics of North America, Volume 77, Number 6, p.1374, December 1997.

Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Hertzberg BS - Abdom Imaging - 1999 May-Jun; 24(3): 304-8.

Vascular complications following laparoscopy: two unusual cases. Ou CS - J Soc Laparoendosc Surg - 1997 Apr-Jun; 1(2): 159-61.

Hemoperitoneum of ovarian origin complicating antivitamin K treatment, Cretel E - Rev Med Interne - 2000 May; 21(5): 428-34.

Management of an acute hemorrhagic ovarian cyst in a female patient with hemophilia A. O'Brien PM - J Pediatr Hematol Oncol - 1996 May; 18(2): 233-6.

Massive ovarian haemorrhage complicating oral anticoagulation in the antiphospholipid syndrome: a report of three cases. Cretel E - Lupus - 1999; 8(6): 482-5.

This page was last modified on 17-Jan-2001.