Hemorrhagic ovarian cyst

Hemorrhagic ovarian cyst (HOC) is an adnexal

mass formed because of occurrence of
bleeding into a follicular or corpus luteum cyst
 Etiology
Corpus luteum is a transient structure formed
as a result of ovulation.
Responsible for production of progesterone
If a pregnancy does not occur CL breaks
down
CL can undergo internal hemorrhage and
develop into a hemorrhagic cyst if
progesterone production ceases but the cyst
persist Hemorrhagic cyst
https://clinicalgate.com/luteum-and-
hemorrhagic-cyst/
 The corpus hemorrhagicum ("bleeding corpus luteum")
is a temporary structure formed immediately after
ovulation from the ovarian follicle as it collapses and is
filled with blood that quickly clots.
After the trauma heals, the subsequent structure is
called the corpus luteum (which in turn becomes the
corpus albicans before degenerating)
Sometimes during ovulation small blood vessels
rupture, and the cavity of the ruptured follicle fills with
a blood clot, a corpus hemorrhagicum.

https://en.wikipedia.org/wiki/Corpus_hemorrhagicum
 Symptom from no symptom to acute abdomen
Most frequently in premenopausal women
56,3 % in multiparous
68,8 % in luteal phase, 6-9% in folicular phase
WBC significantly higher in patients suffering
from acute abdomen Local inflammation
occurring around the rapidly distended ovary
(9.3+13.3)
HB can lower due to hemorrhage
 Abdominal pain was more sever with big cysts
rapid accumulation of blood inside the cyst
Distension and peritoneal irritation
USG 52,1% sponge like pattern fibrin
strands resulted from hemorrhage
Doppler study Blood flow with peripheral
location of vessels, no internal blood flow
 Management depent on clinical symptoms,
lesion size, and USG appearance
Surgical severe abdominal pain, cyst > 5
cm, intolerable pain during follow up, high
leukocytic count, and low HB
Oophorectomy Presence of gangrenous
twisted ovaries holding the hemorrhagic cyst
Conservative 87,5% resolve in 6 weeks
 Among the list of most apparent symptom of a
hemorrhagic cyst is normally a sharp
discomfort inside your side appropriate ahead
of ovulation.
Oral birth manage pills are usually prescribed
for these cysts since they cease you ovulating.
The general considered is constantly that if
your ovaries usually usually do not ovulate,
there will probably be no cyst formation.
 Inside a hemorrhagic cyst, the blood vessel surrounding the wall
within the cyst inside the ovary ruptures and this brings about
penetration of blood inside the cyst top to complexities.
The blood vessel not only consists of blood but in addition a
mixture of fluids and consequently hemorrhagic cyst are otherwise
known as blood cyst.
Hemorrhagic cyst generally occur throughout the menstrual cycles
and continue to become undetected for the incredibly extended
time.
That is primarily due to the fact females mistake the ache from cyst
progress to have the period discomfort.
Typically hemorrhagic cyst disappear right after a single unique or
two menstrual routine, requiring no remedy choices.
 The bleeding also causes the walls of the ovary to
stretch leading to obvious progress from the cyst. The
discomfort is much more intense if the rupture takes
place. Within the event of the rupture, speak for the
medical physician swiftly.
These ovarian fibroids are functional in nature and
consist of or discharge blood. Typically, these varieties
of cysts normally do not rupture but if they do then
they discharge blood along with the girls may well
perhaps think irritation in her pelvic spot. These sorts
of cysts tend not to call for any form of intervention