Endometriosis is the growth of endometrial tissue outside the uterus. Endometrial tissue is normally found of the inside of the uterus, however can take a trip to other places. The ovary, because of its proximity to the uterus, is one of the most typical places for endometriosis.
As endometriosis becomes the ovary, a mass filled with old blood and tissue establishes, called a chocolate cyst, or, more formally, an endometrioma. Endometriomas grow slowly and can cause pain and issues with fertility, given that the ovary can not work usually. Cyst rupture causes possibly severe symptoms and generally needs surgery.
Ruptured endometriomas cause acute abdominal pain– pain that begins all of a sudden and can be severe. Pain does not originate from the rupture of the cyst, but from the blood and debris inside the cyst aggravating the peritoneum, the lining of the abdominal cavity. The release of this product causes chemical peritonitis. Chemical peritonitis is not triggered by infection, however by inflammation of the tissues of the peritoneum. The whole abdominal may also hurt to touch.
Inflammation in the peritoneal cavity after an endometrioma ruptures can cause fever, lead author Barbara Levy, M.D. specifies on UpToDate. Symptoms of shock, such as pallor, sweatiness, rapid heartbeat, confusion and weakness, might also develop, but dizziness and low blood pressure don’t develop unless there is substantial blood loss, which usually doesn’t take place, Jonathan Berek and Emil Novak report in their 2007 book “Berek and Novak’s Gynecology.”
Rigidness and protecting of the abdomen– a reluctance to have the abdominal area palpated– may develop from chemical peritonitis. Bowel noises might reduce due to slowing of intestinal activity, the abdomen may end up being swollen, and vomiting may also take place, William Silen states in his book, “Cope’s Early Diagnosis of the Intense Abdomen.”