A complex ovarian cyst

Jamie N. Bakkum
Obstetrics & Gynecology · 2006 · vol. 108(5) , pp. 1227–1228 · doi:10.1097/01.aog.0000244099.25740.77 · PMID:17077247 · W2326137059
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A 40-year-old woman with acute pelvic pain was initially diagnosed with a ruptured ovarian cyst via computed tomography, but her condition required further evaluation to determine the true etiology.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-10-03 · read from full text ⓘ

This case report describes a 40-year-old multiparous woman who presented with acute pelvic pain and was initially managed conservatively after imaging identified a ruptured ovarian cyst. Despite initial treatment, the patient returned to the emergency room due to persistent symptoms, leading to further admission and eventual identification of the true underlying cause of her pain. The authors use this clinical scenario to illustrate that acute pelvic pain can stem from diverse organ systems beyond the gynecologic tract, complicating the diagnostic process for physicians. This paper is centrally about endometriosis — specifically as a differential diagnosis or confounding factor in cases of acute pelvic pain where ovarian pathology is suspected but not confirmed by initial imaging.

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Abstract

BACKGROUND: Acute pelvic pain in women is a common diagnostic dilemma encountered by the gynecologist. We describe a case of acute pelvic pain with an unusual etiology. CASE: A 40-year-old multipara presented within hours of the onset of acute pelvic pain. She was treated conservatively with analgesics after computed tomography of the abdomen and pelvis revealed a ruptured ovarian cyst. Upon return to the emergency room, she was admitted to a gynecologic service for pain control. The etiology of her acute pelvic pain eventually declared itself. CONCLUSION: The differential diagnosis of acute pelvic pain represents a variety of organ systems.
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Background

Acute pelvic pain in women is a common diagnostic dilemma encountered by the gynecologist. We describe a case of acute pelvic pain with an unusual etiology. CASE: A 40-year-old multipara presented within hours of the onset of acute pelvic pain. She was treated conservatively with analgesics after computed tomography of the abdomen and pelvis revealed a ruptured ovarian cyst. Upon return to the emergency room, she was admitted to a gynecologic service for pain control. The etiology of her acute pelvic pain eventually declared itself.

Conclusion

The differential diagnosis of acute pelvic pain represents a variety of organ systems. Copyright © 2006 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

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MeSH descriptors

Gastric Bypass Intestinal Volvulus Jejunal Diseases Ovarian Cysts Pelvic Pain Postoperative Complications Adult Diagnosis, Differential Female Humans Intestinal Volvulus Intestinal Volvulus Jejunal Diseases Jejunal Diseases Ovarian Cysts Pelvic Pain Postoperative Complications Pregnancy

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