A 45-year-old female presents with sudden onset of severe lower abdominal pain and syncope. She has a known 8 cm ovarian cyst from a recent ultrasound...

Question

A 45-year-old female presents with sudden onset of severe lower abdominal pain and syncope. She has a known 8 cm ovarian cyst from a recent ultrasound. Her blood pressure is 85/50 mmHg, heart rate is 135 bpm, and her abdomen is rigid with guarding. What is the most likely diagnosis?

Accepted Answer

Ruptured ovarian cyst with haemoperitoneum - the rigid abdomen and haemodynamic instability indicate significant intra-abdominal haemorrhage requiring urgent surgical intervention

Answer

Appendicitis with perforation

Answer

Ovarian torsion without rupture

Answer

Urinary tract infection with sepsis

Answer

Ruptured ectopic pregnancy

uk-dipimc MCQ (SBA): Ruptured Ovarian Cyst

A 45-year-old female presents with sudden onset of severe lower abdominal pain and syncope. She has a known 8 cm ovarian cyst from a recent ultrasound. Her blood pressure is 85/50 mmHg, heart rate is 135 bpm, and her abdomen is rigid with guarding. What is the most likely diagnosis?