Clinic and ultrasound parallels of ovarian intra-abdominal bleedings in the women of reproductive age

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.