Symptoms of a ruptured chocolate cyst

Chocolate cysts are the pathological manifestation of endometriosis. The ectopic endometrium, like the endometrium, undergoes synchronous bleeding and fibrosis of the surrounding tissues with the changes in ovarian hormones. However, the blood cannot be discharged through the vagina like menstrual blood, but accumulates locally and forms retention cysts. Ovarian chocolate cysts rupture spontaneously or under the influence of external forces due to a variety of factors, and ruptures can occur repeatedly. After rupture, old blood overflows into the abdominal cavity, causing severe abdominal pain, nausea and vomiting, vaginal bleeding, and other symptoms. It is recommended to go to the hospital for treatment in time.

The onset of chocolate cyst rupture is mostly before menstruation or in the second half of the menstrual cycle (luteal phase). Due to repeated bleeding in the cyst cavity before and after the menstrual period, the intracystic pressure increases sharply, and it is easy to rupture spontaneously, or the cyst ruptures due to external force compression and gynecological examination. Generally, there is no amenorrhea or irregular vaginal bleeding. Sudden lower abdominal pain starts on one side, followed by pelvic pain, accompanied by nausea and vomiting. There are few shock symptoms such as decreased blood pressure. There are obvious symptoms of peritoneal irritation in the abdomen, obvious tenderness, rebound pain and muscle tension. There is rarely mobile dullness. Gynecological examination can touch a mass with unclear boundaries on one or both sides of the pelvic cavity. The mass is often connected to the posterior wall of the uterus, close to the uterus, inactive, and tender. If the diagnosis of chocolate cyst rupture is clear, the cyst is not very large, the general condition is relatively good, or those who are unwilling to undergo surgery can be observed in the emergency department, infused, and treated to prevent infection. Whether further surgical treatment is needed depends on whether the condition can be relieved. For patients with severe symptoms and unstable vital signs, surgery should be performed immediately after diagnosis, because the leaking cystic fluid may cause pelvic adhesions, infertility, or re-dissemination and implantation of ectopic endometrium.

The onset of chocolate cyst rupture is mostly before menstruation or in the second half of the menstrual cycle (luteal phase). Due to repeated bleeding in the cyst cavity before and after the menstrual period, the intracystic pressure increases sharply, and it is easy to rupture spontaneously, or the cyst ruptures due to external force compression and gynecological examination. Generally, there is no amenorrhea or irregular vaginal bleeding. Sudden lower abdominal pain starts on one side, followed by pelvic pain, accompanied by nausea and vomiting. There are few shock symptoms such as decreased blood pressure. There are obvious symptoms of peritoneal irritation in the abdomen, obvious tenderness, rebound pain and muscle tension. There is rarely mobile dullness. Gynecological examination can touch a mass with unclear boundaries on one or both sides of the pelvic cavity. The mass is often connected to the posterior wall of the uterus, close to the uterus, inactive, and tender. If the diagnosis of chocolate cyst rupture is clear, the cyst is not very large, the general condition is relatively good, or those who are unwilling to undergo surgery can be observed in the emergency department, infused, and treated to prevent infection. Whether further surgical treatment is needed depends on whether the condition can be relieved. For patients with severe symptoms and unstable vital signs, surgery should be performed immediately after diagnosis, because the leaking cystic fluid may cause pelvic adhesions, infertility, or re-dissemination and implantation of ectopic endometrium.

The dietary principle for ovarian chocolate cyst rupture is to focus on light food, control the intake of all alcohol, coffee, tea, etc., avoid greasy food, including fatty meat, fried food, etc. In addition, be careful of mold and pickling to avoid aggravating the condition. Do not consume irritating condiments, such as onions, garlic, peppers, cinnamon, etc.