Acute pelvic pain: Diagnosis and management of ruptured hemorrhagic ovarian cyst

Thomas Dahl Nielsen, Tiffany Nielsen, Rosa Bribiesca, Candice Whealon
The Nurse practitioner · 2025 · vol. 50(2) , pp. 42–47 · doi:10.1097/01.npr.0000000000000275 · PMID:39844322 · W4406778097
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This case study reviews the differential diagnosis, management, and surveillance of acute pelvic pain in reproductive-aged persons, illustrating a case of hemorrhagic ovarian cyst.

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Abstract

Acute pelvic pain in reproductive-aged persons who are assigned female at birth is associated with an extensive differential diagnosis, with possible causes ranging from the genitourinary or gastrointestinal to the musculoskeletal or neurovascular, in some cases even extending to psychological and dermatologic presentations. This article presents a case study that serves as an exemplar of the differential diagnosis of acute pelvic pain, culminating in diagnosis of the patient with a hemorrhagic ovarian cyst as well as a review of outpatient surveillance guidelines for adnexal masses. Management of this difficult-to-diagnose condition is reviewed, and special populations are considered.

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MeSH descriptors

Acute Pain Acute Pain Hemorrhage Hemorrhage Hemorrhage Hemorrhage Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Cysts Pelvic Pain Pelvic Pain Pelvic Pain Pelvic Pain Adult Diagnosis, Differential Female Humans Nursing Diagnosis Rupture, Spontaneous

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last seen: 2026-06-10T17:14:06.276822+00:00
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License: CC0 · commercial use OK