Today’s color ultrasound examination showed that there are nocturnal dark areas with sizes of 85MMX54MM (right) and 67MMX45MM (left) at the bilateral appendages of the uterus. The sound transmission i

Today’s color ultrasound examination showed that there are nocturnal dark areas with sizes of 85MMX54MM (right) and 67MMX45MM (left) at the bilateral appendages of the uterus. The sound transmission inside is poor and it can be seen that

Ovarian chocolate cyst, also known as ovarian endometriosis cyst, is a disease caused by the endometrium "crossing the ocean" and "immigrating" into the ovary. It is an endometriosis The most common type of ovarian cyst, it is essentially different from ovarian cysts which are tumors. After the endometrium "immigrates" to the ovary, it is still affected by the cyclical effects of ovarian sex hormones. When menstruation comes, the ectopic endometrium in the "immigrant" ovary will also cause "menstrual"-like bleeding. The "menstrual blood" cannot be discharged from the body and has to be retained in the ovary. The ectopic endometrium shed in the "menstrual blood" is like a seed and continues to be planted in the ovary. It is such a repeated cycle. Month after month, year after year, the "menstrual blood" retained in the ovary accumulates more and more. A cyst ranging from small to large is formed, which is medically called an "ovarian endometriosis cyst". Because the blood in the cyst is old blood that has been retained for a long time, and the appearance is chocolate paste, it is also called an "ovarian chocolate cyst." ".

As the course of ovarian chocolate cyst prolongs, the blood accumulation in the cyst continues to increase, and the cyst volume also increases. When there is too much blood in the cyst cavity and the pressure is too high, the weak part of the cyst wall can burst, causing spontaneous rupture of the cyst, and blood accumulates in the outflow part of the cyst. After the pressure is reduced, the cyst wall breach can often heal on its own. After a certain period of time, when the blood accumulation in the cyst increases again and the pressure increases again, spontaneous rupture may occur again. After the cyst ruptures, the blood flows into the pelvic cavity, irritating the peritoneum, causing severe abdominal pain, and may cause adhesions of pelvic organs. Ovarian chocolate cysts can rupture spontaneously without any inducement. Rough or vigorous sexual life, especially premenstrual sexual life, is often an important cause of cyst rupture.

Small ovarian chocolate cysts are usually less likely to rupture. The drug treatment of ovarian chocolate cysts is ineffective and difficult to eliminate chocolate cysts. When the cyst increases to more than 3 cm, the risk of spontaneous rupture begins to appear and gradually increases. When it grows to a certain size, spontaneous rupture is often unavoidable. Therefore, it is indeed a "bomb" hidden in the pelvic cavity, and there is no telling when it will "explode".

Because the ovarian chocolate cyst ruptures and flows into the pelvic cavity is old accumulated blood, not a large amount of fresh bleeding. Except for abdominal pain, it usually does not affect vital signs and does not cause shock. Some people think that since it is not life-threatening, conservative treatment without surgery can be adopted to save patients from the pain of surgery. In fact, this is not the case. After conservative treatment, the breach in the cyst wall heals and the symptoms disappear, but spontaneous rupture may occur soon. Such repeated attacks and sufferings, and the more attacks occur, the more severe the pelvic adhesion caused, and the abdominal pain and other symptoms caused by pelvic adhesion will make her "worse" and miserable.

Therefore, those diagnosed with ovarian chocolate cysts with a diameter of 3 cm or more should undergo surgery to eliminate the risk of "bomb" explosion. At this time, chocolate cyst removal is often performed to preserve the normal ovarian tissue to the greatest extent. Traditional laparotomy or laparoscopy can achieve the purpose of treatment. Postoperative medication is also required to consolidate the curative effect, which is of great significance in preventing the recurrence of ovarian chocolate cysts.

The cause of ovarian chocolate cyst is not yet clear, but it is closely related to uterine cavity surgery, mainly artificial abortion. Therefore, implementing contraceptive measures and eliminating artificial abortion can help prevent the occurrence of ovarian chocolate cysts.