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A tubo-ovarian abscess (TOA) is one of the late complications of pelvic inflammatory disease (PID) and can be life-threatening if the abscess ruptures and results in sepsis. It consists of an encapsulated or confined pocket of pus with defined boundaries that forms during an infection of a fallopian tube and ovary .
Although most cases of ovarian cysts are monitored and stabilize or resolve without surgery, some cases require surgery. [35] Common indications for surgical management include ovarian torsion, ruptured cyst, concerns that the cyst is cancerous, and pain; [11] some surgeons additionally recommend removing all large cysts. [11]
A corpus luteum cyst or luteal cyst is a type of ovarian cyst which may rupture about the time of menstruation, and take up to three months to disappear entirely. A corpus luteum cyst does not often occur in women over the age of 50, because eggs are no longer being released after menopause. Corpus luteum cysts may contain blood and other fluids.
The best way to evaluate for an ovarian cyst is usually an ultrasound of the pelvis." Dr. Staci Tanouye, a board-certified ob-gyn, agrees, saying that most ovarian cysts don't cause symptoms ...
There are four types of ovarian cysts — functional cysts, PCOS cysts, benign ovarian tumor and malignant ovarian tumor — that range from harmless to fatal.
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Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix). [28] Pelvic and vaginal ultrasounds are helpful in the diagnosis of PID. In the early stages of infection, the ultrasound may appear normal.
The use of the medication methotrexate works as well as surgery in some cases. [2] Specifically it works well when the beta-HCG is low and the size of the ectopic is small. [2] Surgery such as a salpingectomy is still typically recommended if the tube has ruptured, there is a fetal heartbeat, or the woman's vital signs are unstable. [2]