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Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women
STUDY OBJECTIVE: To determine the success rate of the “intended conservative management strategy” of ruptured ovarian cysts with hemoperitoneum and the risk factors for surgical interventions in healthy women of reproductive age. METHODS: Patients who visited the emergency department with abdominal...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946718/ https://www.ncbi.nlm.nih.gov/pubmed/24608424 http://dx.doi.org/10.1371/journal.pone.0091171 |
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author | Kim, Jee Hyun Lee, Seung Mi Lee, Ji-Hyun Jo, Yu Ri Moon, Min Hoan Shin, Jonghwan Kim, Byoung Jae Hwang, Kyu Ri Lee, Taek Sang Bai, Kwang Bum Jeon, Hye Won |
author_facet | Kim, Jee Hyun Lee, Seung Mi Lee, Ji-Hyun Jo, Yu Ri Moon, Min Hoan Shin, Jonghwan Kim, Byoung Jae Hwang, Kyu Ri Lee, Taek Sang Bai, Kwang Bum Jeon, Hye Won |
author_sort | Kim, Jee Hyun |
collection | PubMed |
description | STUDY OBJECTIVE: To determine the success rate of the “intended conservative management strategy” of ruptured ovarian cysts with hemoperitoneum and the risk factors for surgical interventions in healthy women of reproductive age. METHODS: Patients who visited the emergency department with abdominal pain and were diagnosed with a ruptured ovarian cyst with hemoperitoneum between August 2008 and June 2013 were included in this retrospective study. The diagnosis of the ruptured ovarian cysts and hemoperitoneum was based on the clinical symptoms, physical examination and ultrasound and CT imaging. The rate of surgical interventions and the risk factors for surgical intervention were determined. RESULTS: A total of 78 women were diagnosed with a ruptured ovarian cyst with hemoperitoneum. Most patients (80.8%, 63/78) were managed conservatively, and 19.2% of the patients (15/78) required a surgical intervention. In the multiple logistic regression analysis, the diastolic blood pressure (dBP) (odds ratio [OR] of 0.921 with 95% confidence interval [CI] of 0.855–0.993) and the depth of the total pelvic fluid collection in CT (DTFC_CT) (OR 1.599 with 95% CI 1.092–2.343) were the significant determining factors of surgical intervention after adjustment. The rate of surgical intervention was 6.5% vs. 15.8% vs. 77.8% in the patients with neither dBP≤70 mmHg nor DTFC_CT≥5.6 cm, those with only one of those features, and those with both, respectively. CONCLUSION: Most cases of ruptured ovarian cysts with hemoperitoneum can be managed conservatively. A low diastolic blood pressure and a large amount of hemoperitoneum suggest the need for surgical intervention. |
format | Online Article Text |
id | pubmed-3946718 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-39467182014-03-10 Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women Kim, Jee Hyun Lee, Seung Mi Lee, Ji-Hyun Jo, Yu Ri Moon, Min Hoan Shin, Jonghwan Kim, Byoung Jae Hwang, Kyu Ri Lee, Taek Sang Bai, Kwang Bum Jeon, Hye Won PLoS One Research Article STUDY OBJECTIVE: To determine the success rate of the “intended conservative management strategy” of ruptured ovarian cysts with hemoperitoneum and the risk factors for surgical interventions in healthy women of reproductive age. METHODS: Patients who visited the emergency department with abdominal pain and were diagnosed with a ruptured ovarian cyst with hemoperitoneum between August 2008 and June 2013 were included in this retrospective study. The diagnosis of the ruptured ovarian cysts and hemoperitoneum was based on the clinical symptoms, physical examination and ultrasound and CT imaging. The rate of surgical interventions and the risk factors for surgical intervention were determined. RESULTS: A total of 78 women were diagnosed with a ruptured ovarian cyst with hemoperitoneum. Most patients (80.8%, 63/78) were managed conservatively, and 19.2% of the patients (15/78) required a surgical intervention. In the multiple logistic regression analysis, the diastolic blood pressure (dBP) (odds ratio [OR] of 0.921 with 95% confidence interval [CI] of 0.855–0.993) and the depth of the total pelvic fluid collection in CT (DTFC_CT) (OR 1.599 with 95% CI 1.092–2.343) were the significant determining factors of surgical intervention after adjustment. The rate of surgical intervention was 6.5% vs. 15.8% vs. 77.8% in the patients with neither dBP≤70 mmHg nor DTFC_CT≥5.6 cm, those with only one of those features, and those with both, respectively. CONCLUSION: Most cases of ruptured ovarian cysts with hemoperitoneum can be managed conservatively. A low diastolic blood pressure and a large amount of hemoperitoneum suggest the need for surgical intervention. Public Library of Science 2014-03-07 /pmc/articles/PMC3946718/ /pubmed/24608424 http://dx.doi.org/10.1371/journal.pone.0091171 Text en © 2014 Kim et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Kim, Jee Hyun Lee, Seung Mi Lee, Ji-Hyun Jo, Yu Ri Moon, Min Hoan Shin, Jonghwan Kim, Byoung Jae Hwang, Kyu Ri Lee, Taek Sang Bai, Kwang Bum Jeon, Hye Won Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women |
title | Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women |
title_full | Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women |
title_fullStr | Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women |
title_full_unstemmed | Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women |
title_short | Successful Conservative Management of Ruptured Ovarian Cysts with Hemoperitoneum in Healthy Women |
title_sort | successful conservative management of ruptured ovarian cysts with hemoperitoneum in healthy women |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946718/ https://www.ncbi.nlm.nih.gov/pubmed/24608424 http://dx.doi.org/10.1371/journal.pone.0091171 |
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