Abstract:
Clinic and ultrasound parallels of ovarian intra-abdominal bleedings in the women of reproductive age patients with the haemoperitoneum volume more than 300 ml. All the patients
were examined sonographically. Surgical intervention was performed either
immediately after the diagnosis of ovarian apoplexy assessment and the patient’s
hospitalization or after conservative treatment attempts. Statistical processing of
the results was performed with the software Statistica 5.5 (Stat Soft Inc., USA).
Results. The study identified the clinical, laboratory and ultrasound characteristics
of apoplexy patients’ with ovarian bleeding over 300 ml. The distinctive diagnostic
features include: the presence of a significant pelvic ache, decreased hemoglobin (
to 100 g / l ), free liquid level rising above the bottom of the uterus on transvaginal
sagittal echograms. The rating diagnostic signs of hemoperitoneum in patients with
ovarian apoplexy can be used for the patients’ selection either for conservative or
surgical treatment. If the amount of intra-abdominal bleeding does not exceed 300
ml a conservative treatment is recommended.
