LEFT SIDE OVARIAN HEMORRHAGIC CYST 3*2 CM

pt age 29 female c/o left lumbar and umbilical region persistent with sometimes diarrhoea and fever... cbc hb 11.5 rbc 4.35 plt 3.84 wbc 9.04 dlc( N 69 L 27 M 1.2 E 2.4 B 0.10) widal negative s.amylase 69 usd abdo. left ovary 3.2@2.5 cm hemorrhagic cyst... treatment plan ?

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Agree with Dr Nisha. Surgical intervention should be reserved for cases with acute severe abdominal pain, large size cyst (>5cm dia), high tlc .
Thank you doctor
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Admit. IVF. Inj Cefriaxone. Inf Metrogyl. Inj Drotin. Inj Pan 40. Assess vitals. USG of Whole abdomen. If needed Urgent laparoscopic surgery.
Thank you doctor
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Internal septations seen in left ovarian seems to be benign one .It requires surgical removal with histopathology
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kanchnaar guggul, aarogyavardhani vati, syp m2tone, if facing prob. of oligomenorhea give rajh pravartani vati
Ask for CA125 , AND LAPAROSCOPIC CYSTECTOMY IS OPTION BUT BEFORE SURGERY WE CAN ADV.TAB PRISTAL 5MG ONE DAILY
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29 yrs age with haemarragic cyst Get ca 125 Give her ocp for 3 month Antibiotics and anti-inflammatory
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Hemorrhagic ovarian cyst with septation Add surgical intervention
Thanx dr Vipin Bihari Jain
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The cyst has to be removed by leproscopy
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Gynec opinion CT Abdonen , CA 125 Conservative management with PPI, analgesics, antispasmodics If response is poor, consider lap ovarian cystectomy
Thank you doctor
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