50 cases of ovarian chocolate cyst rupture analysis.docVIP

 PAGE \* MERGEFORMAT 9 50 cases of ovarian chocolate cyst rupture analysis [Keywords:] ovarian chocolate cysts; abdomen; Misdiagnosis Ovarian chocolate cyst rupture as a gynecological acute abdomen, since the 80 years since the last century is increasingly being valued by an obstetrician, because symptoms of gynecologic acute abdomen and other similar high rate of misdiagnosis, the consequences are more serious [1 ~ 2]. In view of this, the author of the ovarian chocolate cyst rupture in our hospital were retrospectively analyzed 50 cases are reported below. Materials and Methods 1. Clinical data from January 1998 to December 2008 were treated between 50 cases of ovarian chocolate cyst rupture, aged 23 to 42 years, mean 32 years old. Unmarried in 2 cases, 6 cases were not pregnant. In which the original attachment cyst history shrink or disappear after the onset of cysts in 12 cases, 24 cases had history of dysmenorrhea, 48 cases of married persons, 6 cases of infertility. with all kinds of gynecological surgery in 34 cases, 68%; 50 cases were sudden, continued to intensify in the lower abdominal pain, abdominal pain with nausea and vomiting .31 cases began in the lower abdomen or the entire side of the lower abdomen, 16 patients first, middle and upper abdominal pain after the transfer to the lower abdomen, 32 cases of diarrhea or have it accompanied by a sense of meaning. occurred in the menstrual period or the latter half of the 48 cases, accounting for 96%. abdominal examination had significant tenderness, rebound tenderness, and varying degrees of peritoneal irritation such as muscle tension, shifting dullness was not obvious, admission body temperature of 41 cases (37.6 ~ 39.0 ), WBC 10 ~ 20 109 / L in 43 patients. except for 1 case of blood pressure dropped to 90/60 mmHg, blood pressure than patients without. 2. Surgical methods in addition to 50 patients by laparotomy in 9 cases, routine abdominal surgery, the remaining 41 cases were lap