Ovarian apoplexy

Ovarian apoplexy - hemorrhage in the ovary, accompanied by its rupture and bleeding into the abdominal cavity. There is due to pathological changes in blood vessels (varicose veins, sclerosis) against the background of previous inflammation. Most often it occurs at the time of ovulation or at the stage of vascularization of the corpus luteum (the middle and the second phase of the cycle). Provocative role played by trauma, weight lifting, vigorous sexual intercourse.

Symptoms consist of for symptoms of internal bleeding and pain (acute abdomen). Diagnosis presents considerable difficulties, since similar phenomena observed in disturbed ectopic pregnancy.

Treatment. Emergency hospitalization. In the absence of express internal bleeding and possible collapse of the conservative tactics (calm, cold on the lower abdomen). With the growing phenomena of internal bleeding is a -laparotomiya surgery, resection of the ovary. At the same time it is necessary to compensate for blood loss (retransfusion, transfusion of blood, blood substitutes), introduced cardiovascular drugs if necessary.