Paraovarian cyst complications

Many women have paraovarian cysts, which are harmful to women's health. Therefore, in order to prevent paraovarian cysts from affecting their health, many women want to fully understand the symptoms of paraovarian cysts. In order for you to have a comprehensive understanding and recover through treatment as soon as possible, please take a look at the following introduction.

Ovarian cysts, whether cystic, solid, benign or malignant, can all develop complications, and complications can occur at any stage. Some have inducements, some don't.

Tumor pedicle torsion

About 10% of ovarian tumors torsion occurs. The conditions for ovarian tumor pedicle torsion are that the tumor pedicle is long and the tumor is as big as a fist or a fetal head, there is no adhesion to the surrounding tissues, and the tumor is easy to move in the abdominal cavity. Cystic teratomas, mucinous and serous cystadenomas are most prone to pedicle torsion. The pedicles of these tumors are generally longer and the center of gravity is biased to one side. The tumor is easily rotated by intestinal peristalsis or changes in body position. Many patients reported that they had done activities such as getting up or bending over before the onset of pain, but sometimes the patients woke up due to the onset of pain (it may also be due to tossing and turning in sleep or intestinal peristalsis). If an ovarian tumor patient is pregnant, tumor pedicle torsion often occurs in the first half of pregnancy or after delivery. During mid-pregnancy, the ovarian tumor rises into the abdominal cavity along with the uterus, and has more room to move than before in the pelvic cavity, causing the uterus to shrink and the abdominal wall to relax, giving the ovarian tumor more room to move, making pedicle torsion more likely to occur.

First, the veins are compressed and blocked, but the arteries continue to supply blood, causing the tumor to become congested and purple-brown in color. The blood vessels in the cyst may rupture, filling the cyst cavity with blood, and occasionally there may be intra-abdominal bleeding. If the tumor pedicle is severely twisted, the artery will also be blocked, and the tumor will eventually become necrotic. The patient's main symptom is sudden and severe pain in the lower abdomen. Sometimes the pain is mild, which means the tumor pedicle twists slowly and is not serious. Rapid torsion is accompanied by vomiting; occasionally there is a small amount of uterine bleeding due to congestion of endometrial blood vessels. The medical history often includes a movable mass in the lower abdomen, and there may be one or two similar episodes of abdominal pain.

Rupture and puncture

The former refers to the rupture or squeezing of the cyst, with its contents spilling into the abdominal cavity; the latter refers to the erosion of the cyst wall by the contents of the cyst and entering the abdominal cavity, such as the papillary protrusions of serous cystadenoma or carcinoma penetrating the tumor wall.

The rupture rate of ovarian tumors is about 3%, and malignant teratomas are most likely to rupture.

Spontaneous rupture is more common. Due to rapid growth, the local blood supply to the cyst wall is insufficient, and the increased cystic fluid breaks out from the weak part of the cyst wall and overflows into the abdominal cavity. Different tumor contents may cause different consequences in the abdominal cavity, and in the process of forming these conditions, it may cause intestinal inflammation, intestinal adhesions and even intestinal obstruction.

Traumatic rupture is less common and may occur after a patient with a larger cyst has sustained severe abdominal injury. Occasionally, an ovarian cyst becomes embedded in the rectouterine fossa and is ruptured by the presenting part of the fetus during delivery. However, the most common cause is that small and unclearly defined cysts are ruptured during bimanual examination or repeated examinations under anesthesia. Therefore, when examining patients with ovarian tumors, even during B-ultrasound examinations, gentle movements are required. When a small cyst ruptures, the patient usually only feels mild abdominal pain, but different symptoms may occur later due to the different nature of the cyst. The rupture or breach of a macrocyst is extremely large, and the patient often experiences severe pain. The stimulation caused by the tumor contents entering the abdominal cavity can also cause vomiting and varying degrees of shock. Abdominal examination revealed tenderness and tense abdominal wall; the original mass disappeared or only a mass smaller than before the onset of pain could be felt. If the cyst contents overflow excessively or are highly irritating, ascites signs may occur. Bimanual examination: There may be tenderness in the posterior fornix of the vagina and a shrunken mass or a feeling of floating uterus.

Bleeding

During laparotomy, a large number of patients were found to have a small amount of bleeding in the ovarian cyst, but it did not cause any symptoms. Occasionally, if there is massive bleeding within the tumor, especially in the case of a worsening tumor, symptoms similar to tumor pedicle torsion may occur. Torsion or rupture of the tumor pedicle can cause varying degrees of bleeding in the tumor cavity and even cause shock.

Infect

The incidence of ovarian tumor-related infection is as high as 20%, which can be caused by various reasons. Most infections are secondary to tumor pedicle torsion or infection. After the ovarian tumor pedicle twists or ruptures, it adheres to the intestinal tract, causing secondary Escherichia coli infection, and even the tumor contents may be discharged from the adjacent adhesion organs (intestines, bladder), such as cystic teratoma.

Due to the tension of the abdominal wall caused by peritonitis, it is difficult to determine the boundaries of the tumor. Sometimes it is misdiagnosed as an abscess. Patients often first feel a lump in the lower abdomen and then have symptoms of infection such as abdominal pain and fever.

Incarceration

Ovarian tumors that are smaller than the fetal head may be squeezed into the rectouterine pouch, and occasionally into the uterine bladder, causing bowel or urinary obstruction.

Edema

Cysts are mainly fibroids, which may be complicated by obvious edema, causing the tumor to increase rapidly and are often misdiagnosed as malignant tumors.

ascites

Ascites may complicate ovarian tumors that are benign or malignant, cystic or idiopathic, intact or ruptured. The ascites is light yellow, yellow-green, or reddish or even obviously bloody; sometimes it is turbid due to mixing with mucus or other tumor contents.

Ascites is often associated with malignant ovarian cysts, especially those with peritoneal implantation or metastasis. The occurrence of ascites is proportional to the malignancy of the tumor. Ascites is most commonly associated with solid primary cancer, accounting for 75%. Ascites may also occur in benign tumors without pedicle torsion, necrosis, or inflammatory changes.

Symptoms of complications of paraovarian cysts. I believe that many women have learned about the symptoms of complications of paraovarian cysts through the above comprehensive understanding. After fully understanding the symptoms of the disease, in order to prevent the spread of this disease and affect their own bodies, they must go to a regular hospital for comprehensive treatment to get rid of paraovarian cysts as soon as possible.