Rupture of ovarian tissue is an extremely dangerous condition, which is accompanied by severe pain and loss of blood. Why does ovarian apoplexy occur, what is it and what symptoms are accompanied by? These questions are of interest to many, since such a pathology in the absence of timely assistance is a threat to the life of the patient.
Ovarian apoplexy: what is it and why does it occur?
Apoplexy is a sudden sharp violation of the integrity of the tissues of the ovary. This is an acute condition that is most often diagnosed in adult women aged 25 to 40 years. Interestingly, rupture of the right ovary occurs more often than the left, due to some anatomical features.
There are some factors under the influence of which ovarian apoplexy can develop. What are these premises? Any changes in the tissues of the uterine appendages or the vessels supplying them, including varicose veins, scarring, sclerotization, can cause rupture. In particular, chronic diseases of the reproductive system lead to such disorders. In addition, a similar condition is often observed in women suffering from certain hormonal disorders. Risk factors include a violation of blood coagulation, as well as prolonged use of drugs that dilute it.
All of the above problems increase the risk of ovarian rupture. But physical tension, intense sexual intercourse, weight lifting, falling, or even severe stress can provoke sudden apoplexy.
Apoplexy and its forms
Depending on the presence of certain symptoms, it is customary to distinguish several forms of a gap:
- In some cases, this condition is accompanied by severe internal bleeding, weakness, dizziness and pallor of the skin - this is hemorrhagic apoplexy of the ovary.
- The pain form is characterized by suddenly arising, strong, cutting pains in the lower abdomen. The clinical picture here is similar to the symptoms of appendicitis.
- A mixed form of apoplexy is accompanied by both pain and signs of internal bleeding.
The main symptoms of ovarian rupture
As already mentioned, the symptoms of the disease can be different. The painful form is accompanied by severe severe pains that are concentrated in the lesion. Pain attacks can be so severe that they cause nausea and vomiting, often leading to loss of consciousness.
With hemorrhagic apoplexy, the pain syndrome is not so pronounced. Patients sometimes complain of drawing pains in the lower abdomen, which are often given to the lower back, external genitalia and sacrum. But the symptoms of anemia become obvious: pallor of the skin, blueness of the lips, severe weakness, dizziness, fainting.
Ovarian Apoplexy: Diagnosis
Of course, with such symptoms it is best to immediately seek medical help. Only a specialist knows what signs accompany ovarian apoplexy, what it is and why it occurs. Since the clinical picture is not always specific, an ultrasound is prescribed for the patient. A similar study helps to detect free blood in the posterior vaginal fornix.
Apoplexy treatment methods
A woman in such a condition simply needs the help of doctors, as long-term pain and severe blood loss can lead to death. A few years ago it was believed that some forms of the disease can be treated conservatively. In fact, drug therapy can eliminate the symptoms, but does not remove the blood thrown into the free space, which can subsequently cause peritonitis.
Today, the only truly effective treatment is surgery. During laparoscopy, the doctor sews the damaged tissue, removes the remaining blood and treats the tissue with an antiseptic solution. After the danger to the woman’s life has been eliminated, a full examination is prescribed, which makes it possible to determine the causes of the gap and eliminate them.