Ovarian apoplexy means a sudden rupture in the ovary, commonly at the site of a cyst, accompanied by sudden hemorrhage in the ovarian tissue accompanying by the damage of its integrity and bleeding into abdominal cavity. Ovary rupture may occur in the different phase of menstrual cycle, but the most frequently it occurs in the second phase, thus it is often called “rupture of yellow body”. Other names are ovary hematoma, ovary bleeding, ovary rupture. Among women operated for abdominal bleeding ovary rupture is revealed in 0.5 – 3% cases only. Among women operated for abdominal bleeding ovary rupture is revealed in 0.5 – 3% cases only. Among women operated for abdominal bleeding ovary rupture is revealed in 0.5 – 3% cases only. Among women operated for abdominal bleeding ovary rupture is revealed in 0.5 – 3% cases only. Probability of ovary bleeding is in the physiologic changes observed during menstrual cycle. The processes such as ovulation, intensive vascularization of yellow body, premenstrual ovary hyperemia may lead to forming hematoma, damaging tissue integrity and bleeding to abdominal cavity, its volume may be from 30 – 50ml to 2.0 – 3.0l. ANEMIC FORM:-Anemic form of ovary rupture is like the clinic of the damaged ectopic pregnancy. Though lack of menstrual delay and other signs subjective and objective of pregnancy indicate the ovary apoplexy, differential diagnosis is needed. USD of pelvic organs is of great importance. It is reasonable to assess echography of the ovary damaged (dimensions, structure) taking into consideration the condition of the other ovary. For apoplexy the damaged ovary is usually of normal size or slightly increased. Liquid inclusion of hypoechogenous or heterogenic structure (yellow body) which diameter doesn’t exceed the size of preovulatory follicle and doesn’t lead to the ovary sizable change is appropriate to the ovary apoplexy. At the same time normal follicular system as liquid inclusions of 4–8 mm in diameter is observed. Depending on the amount of blood loss free liquid is discovered behind of uterus PAINFUL FORM:-is observed in cases of hemorrhage into tissue of follicle or yellow body without bleeding or with slight bleeding into abdominal cavity. The disease begins with acute pain at the lower abdomen which is accompanied by nausea and vomiting secondary to the normal body temperature. There are no signs of internal bleeding: color of skin and mucosa is normal, pulse and blood pressure are normal too. The tongue is wet and pure.

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11. MILD
MODERATE
SEVERE(Depending on the
amount of blood loss)

12. DIAGNOSIS

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