What is chocolate ovarian cyst? What disease should be differentiated from it?

Patients with ovarian cysts should actively treat, and the treatment should follow the principles of treatment to achieve the purpose of fundamentally restoring the body. So, what happens to chocolate ovarian cysts? What disease should be treated?

Ovarian chocolate cysts, also known as ovarian endometriosis cysts, are caused by the endometrium "migrating across the ocean" and "immigrating" to the ovaries. They are the most common disease among endometriosis and are essentially different from tumorous ovarian cysts. The endometrium "migrating" to the ovaries is still affected by the cyclical effects of ovarian sex hormones.

Ovarian chocolate cysts are a type of endometriosis. Among them, ovarian chocolate cysts account for about 80%. Ovarian chocolate cysts can only affect one ovary, but more than 50% of patients will affect both ovaries. As the disease progresses, patients may experience dysmenorrhea, persistent lower abdominal pain, menstrual disorders, infertility and dyspareunia.

Patients are reminded that chocolate ovarian cysts need to be differentially diagnosed from certain diseases to avoid delaying the treatment of the actual condition:

1. Acute appendicitis. The right ovarian endometrioma cyst ruptures, which can be easily confused with acute appendicitis. The most obvious tender point of acute appendicitis is McBurney's point of the appendix on the abdominal wall. There are no nodules in the rectouterine pit. The patient has a fever and elevated white blood cells. Posterior fornix puncture can also assist in diagnosis. If there is pus, it is acute appendicitis.

2. Ectopic pregnancy rupture or miscarriage with acute abdominal pain, signs of abdominal bleeding and pelvic mass, similar to rupture of ovarian endometriosis cyst. But there is no history of endometriosis and dysmenorrhea, and there is a history of menopause. The examination and examination of the posterior vault puncture can be identified based on blood and urine HCG.

3. Ovarian mass pedicle torsion with no history of dysmenorrhea, no signs of internal bleeding after acute abdominal pain, no obvious abdominal wall tenderness and rebound pain, no mobile dullness. Gynecological examination clearly shows the perimeter of the mass, tenderness of the mass, no nodules in the uterine rectal fossa, and B-ultrasound can be used for identification.