Rupture of the ovary and fallopian tube: causes, symptoms and methods of treatment of pathology
Causes of ovarian rupture
Ovarian apoplexy is more commonly diagnosed in women aged 25–35 years. The cause of such pathological changes are considered neuroendocrine disorders in the process of ovulation, which often lead to rupture of blood vessels and bleeding. The examination paid great attention to the abnormal development of organs, the presence of tumors and inflammation in the pelvic area. The rupture of the ovary can also be triggered by external factors such as violent sex, weight lifting and injuries to the abdomen. In most cases, the violation of the integrity of the body occurs at the stage of ovulation or a little later. Apoplexy mainly affects the area of the right ovary, which is explained by the anatomical features of its blood supply.
Symptoms of ovarian rupture may resemble an ectopic pregnancy.Apoplexy usually appears abruptly and suddenly, more often at night or in the evening, even against the background of well-being. In case of violation of the integrity of the ovary, a woman feels paroxysmal acute abdominal pain, which are located mainly on the right. Occasionally harbinger of such an attack can be tingling pain in the groin, which should alert. As the blood accumulates in the abdominal cavity, the following symptoms appear: pain on palpation of the abdomen, bloody vaginal discharge, increased tone of the abdominal wall in the affected area, increased heart rate, pallor of the face, reduced pressure, dizziness, nausea, tinnitus and fever. In some cases it is very difficult to distinguish between ovarian rupture and ectopic pregnancy and appendicitis, therefore the final diagnosis is made only during surgery.
Causes of fallopian tube rupture
The most terrible consequence of ectopic pregnancy is rupture of the fallopian tube, which is accompanied by acute pain in the lower abdomen, internal bleeding and severe shock. For this reason, it is recommended to immediately seek medical help with the first symptoms of the disease.When the fallopian tube ruptures, damage occurs to the arteries and veins in the membrane of the organ, resulting in bleeding, which irritates the organs and tissues of the peritoneum and pelvis, causing acute pain. The prolonged course of such a process can lead to scarring, which will later complicate the pregnancy and increase the risk of developing ectopic fertilization.
Treatment of ovarian and fallopian tube ruptures
Tactics of treatment depends on the intensity and degree of bleeding. A rupture of the ovary in a light form is amenable to the conservative practice of patient management, in whichfull rest, bed rest, cold on the abdomen area, as well as control of hematocrit, hemoglobin and the general condition of the patient are recommended. Medium and complex severity of the pathological process requires an urgent operation with the simultaneous introduction of plasma and solutions that replace blood. For the surgical treatment of tears, resection and laparoscopy are used, which is carried out by piercing the abdominal cavity. If extensive intervention is necessary, a laparotomy is performed, during which the abdominal organs and the small pelvis are carefully examined.Often, an ovarian rupture requires coagulation of a bleeding vessel and special sutures, and if a cyst is detected, the volume of the operation can widen considerably.