Torsion of the legs of ovarian cysts - symptoms, causes, treatment

Very often, women are diagnosed with torsion of the cyst's legs( neoplasm on the ovary).In its shape, the cyst is very similar to the fungus and has a foot. Under the influence of certain factors, for example, increased physical exertion, there is a twisting of the leg of the tumor. Because of this, oxygen is blocked, which serves as a feed for the cyst. As a result, peritonitis may occur, and in the worst case - the appearance of a tumor. The lack of proper medical care can result in serious consequences, as the cyst is formed on one of the reproductive organs. In this case, a woman may suffer from infertility, but often the torsion of the cyst's legs threatens even life.

The pathology of

The cyst is a special cavity filled with exudate that occurs directly on the surface of one of the ovaries. The contents are purulent or serous. More often the pathology occurs with neoplasms of the big sizes that differ mobile type. Cyst legs have different types.

Type of neoplasm	Short description
Surgical	Occurs when a torsion occurs. It extends to the fallopian tube, intestinal loops
Anatomical	Localized only on the ovary, and can extend to the vasculature, lymphatic connections

The root causes of torsion are bending or twisting of the tissues that make up the basic structure of the cyst. Pathology has, both incomplete and complete appearance. The process of torsion can occur suddenly and at the same time be acute, and can develop gradually.

When the torsion is slow, the compression only extends to the thin veins, as a consequence of this, stagnant processes of the venous system occur. As a result, the feeding of cystic education on the ovary stops, it acquires a bluish tinge and can be complicated by a tumor. Do not rule out the complication of a rupture or hemorrhage in the ovary or abdominal cavity.

If the twist of an acute character, then the arterial system suffers. The consequences are determined by peritonitis, necrotic processes. This is explained by a significant deterioration in blood circulation.

Warning! Diagnosing the pathological process is necessary correctly, taking into account all complaints of the patient, as it is often confused with inflammation of appendicitis.

Symptomatic of the tibialis torsional

Symptoms will directly depend on the degree of torsion and effects on the vascular system. Diagnosis of torsion is easy, because it is characterized by the following features:

1. Painful syndrome of a sharp nature that occurs in the lower abdomen, can be amplified and given back, and sometimes in the lower limb.
2. If you press on the diseased area, the patient will feel a dull pain that will start to build up and become acute.
3. Abdominal walls are characterized by increased stress.
4. The patient has nausea, which is accompanied by vomiting reflexes.
5. There may be malfunctioning of the intestine.
6. Increased uncharacteristic sweating.
7. Rapid pulse.
8. Frequent urge to urinate.
9. Increased body temperature, which can be of a systematic nature.
10. Skin discoloration.
11. Sharp deterioration of state of health, which is accompanied by an apathetic condition.

Video - Ovarian cyst

Causes of pathological process

Unfortunately, the exact etymology of cystic neoplasm for medicine is not fully understood. Theoretically, the occurrence occurs through hormonal failures or exacerbation of the inflammatory process, which is activated in the tissues of the ovaries.

Warning! There are cases when the neoplasm disappears due to the renewal of the menstrual cycle. But this phenomenon happens very rarely, and basically, it requires urgent treatment.

In the process of development, the cystic formation increases, begins to shift, and then its leg undergoes twisting. After that a woman may have pain syndrome in the place of localization of torsion and problems with the work of some internal organs.

The cause of the pathological process can be caused by the shift of neighboring organs, occurring when:

• increased physical activity, lifting gravity;
• weakened abdominal muscles;
• movement of the cystic neoplasm directly into the abdominal cavity;
• during pregnancy or after childbirth;
• stress on the bladder, which leads to pressure on the abdominal region;
• disorders in the digestive tract.

This is important! If the neoplasm has a long leg, the risk of twisting increases. The probability of torsion is minimized if the cyst is large, which allows it to be fixed between neighboring organs.

Diagnosis

Initial diagnostic actions involve the collection of a general anamnesis of the disease, which is based on the medical history, the patient's complaints and the initial examination. In addition, it is necessary to determine the nature of the pain and whether there is any additional symptomatology. It is very important to pay attention to STDs, gynecological ailments, artificial abortions that have been carried over earlier.

Then follows a mandatory gynecological examination, which is mainly based on palpation. Thus, the internal genital organs are examined, their location is correct, their size, and the presence of painful sensations. An additional examination involves palpation of the abdominal cavity to determine the degree of muscle tension. Also, soreness can be detected when pressing on the abdominal cavity.

After a gynecological examination, the patient is referred for a general blood test. Due to this research it is possible to find out the presence of an inflammatory process. Confirm it is possible if an elevated level of leukocytes is diagnosed.

Important for diagnosing torsion of the ultrasound of the small pelvis. Through ultrasound, a tumor is detected and a liquid is formed in it.

The laparoscopic method of diagnosis provides for a detailed examination of the abdominal cavity with the help of a unique medical instrument - an endoscope. The latter is inserted into the abdominal cavity through special small incisions. Thus, it is possible to establish accurately whether there is a cystic tumor on the ovaries and, as a pathological process, the remaining neighboring organs will be affected.

Please note! The laparoscopic method is used not only for diagnostic purposes, but also for the surgical treatment of cysts. This method of removing education is recognized as the safest and with a minimum rehabilitation period.

Treatment of

The most important point of treatment determines that it is the operation that is most effective in twisting the leg and eliminating cystic education as a whole. This is explained by the unjustified safety of conservative methods of therapy and possible complications. Therefore, when confirming the diagnosis, one should not hesitate with an operative intervention. Otherwise, the patient may begin peritonitis or the cyst will grow to the organ. Also, delay in the operation may result in internal bleeding.

The main reasons for the formation of cysts and the appearance of torsion of the legs can be learned from the video.

Video - Ovarian cyst. Causes of

There is no need to waste time on conservative treatment, since the effectiveness of it will be minimal, and the time spent can lead to serious complications. Therefore, in the confirmation of pathology, an urgent operation is necessary. The main objective of surgery is to restore the correct position of the ovaries( with a twist, it can significantly change).The danger of such a pathology is that if there is a disturbance in blood circulation, tissue necrosis can occur. As a result, the specialist will insist on removing the appendages.

When the patient began to have an intensified pain syndrome, you can not hesitate to call an ambulance. After an urgent hospitalization and determination of severity, the method of operation will be selected.

Minor ovarian twisting is twisted to the correct position and with the help of laparoscopy immediately remove the cystic tumor. When the doctor diagnosed a complication in the form of peritonitis, it is not only the cyst that is subject to removal, but all the appendages( infertility is guaranteed).In case of detection of a malignant nature, organs with a tumor are removed, and samples are sent for detailed study.