ruptured hemorrhagic ovarian cyst

[hlpme92]

I am trying to figure out what is going on with me, about a month ago I was seen in the ER for extreme abdominal pain with vomiting, etc.  After an ultrasound I was told that I had a small hemorrhagic cyst on my right ovary that only measured 1.6 cm x 1.5 cm, no free fluid was seen in the cul-de-sac and no adnexal mass was seen.  US also showed a 2 cm exophytic left sided uterine fibroid.  The ER doctor said that the cyst had ruptured and was bleeding a little bit outside of the cyst.  I have had a lot of stomach discomfort, lower right quadrant pain that radiates upwards, pain during bowel movements, tired, mood swings, bloating and tenderness.  Pain comes and go and a month later still have these bouts.  When I went to my gynecologist she instantly acted that this was not possible for the following reasons:

1.  There was no free fluid found
2.  I started my period the next day

She wanted me to get a CT scan to rule out appendicitis which turned out negative.

I am annoyed that my dr. did not read over US findings and automatically assumed the ER made an incorrect diagnosis.  I now have to pay the price of CT scan.  The pain I am feeling is real and I am very confused.  My main questions are:

1. Can a small hemorrhagic cyst rupture without free fluid  detected on the ultrasound?  Could it be that it was such a small cyst that the small amount of blood  was not detectible?

2.  Is it possible for this rupture to happen the day before my period?

Thanks for your help, I just want to figure this out and feel better!

[Dixie298]

I have been in this kind of pain for six months.I also had a cyst on right ovary......... The pain is terrible, and it also hurts after bowerl movement.I had ct scan.dr. diagnosed me with IBS....... When I called last week in pain bloating she told me to put heat and take a motrin. Sorry but I think she gave a wrong diagnosis. Have another dr. look at your ct scan report and see what he comes up with.....It is nice to know that I am not alone.............I hope we both begin to feel better soon.Diane.Let me know how you make out.

[hlpme92]

Thank you for your response, how large was your cyst and did it rupture also?  It is crazy that  a cyst so small can cause so much pain, I can't imagine if it had been a larger cyst that had ruptured!  I also have IBS that flairs up at times but recently I have not been bothered by these types of symptoms.  The dr.s had also mentioned possible endemetriosis but my periods are very regular, it has only been the last 6 months or so that I have noticed my periods gradually getting more painful.  I am going to go to another gynecologist and maybe have better luck, hope you feel better!

[jessieann]

I have been in your shoes. I have had a couple of episodes like that, one ct saw free fluid and I didn't even go for help this time because I knew what was happening. Athough the pain makes you feel like an ER visit is needed and that something really bad is happening. I guess I keep hearing the same comments every time I seek help and don't want the tests over and over. The pain does last a while. My last rupture was 11 days ago and my pain still waxes and wanes. I was interested to see that you mentioned the mood swings because up until this year I had not experienced them and I really was wondering what was wrong with me. I have always been gentle mild and slow to anger, but now with all these cyst problems I don't recognize myself. I, like you don't feel like i get good answers to my problems. They want me to try BC and hormones to help but I am very weary of them.

[cirella]

Hi,
Although small, when those cysts rupture they can be painful.  Have any of you had a vaginal ultrasound?  Women will have follicular cysts each month as part of the ovulation process.  The problems start when they cysts grow.  But, the doctor won't know unless they look.  I think that if you feel passed off by your doctor then go to see another one.  We all deserve to be listened to.

Good luck!