The purpose of this study is to examine the histopathological findings of ruptured ovarian cysts and to compare them with clinical symptoms. In general, this condition has been misdiagnosed with appendicitis (54.6%) or with ruptured ectopic pregnancy (18.2%). During 5 years from January 1, 1994 to December 31, 1998, 182 samples of ovarian cystomas were referred to ViÖt §øc Hospital for histopathological study. Among these, 36 cysts were ruptured. 69.4% of the ruptures occurred in patients aged from 15 to 35 years. More than half (58.3%) were found in the right ovary. The most common histological types were ruptures of the cystic corpus luteum (61.1%) and secondary ruptures of the Grafian follicles (16.7%). The commonest complication was intraperitoneal hemorrhage - an indication for emergency laparotomy in clinical. The amount of blood found in peritoneum was largely insignificant, with 50 - 500 ml in 95% of patients.
Ovarian Cysts ; Ovarian Neoplasms ; diagnosis