Can ovarian cysts cause back pain? What are the common complications?

Can ovarian cysts cause back pain? What are the common complications?

Ovarian cysts have no obvious clinical manifestations in the early stages, and patients are often found only during gynecological examinations when they seek medical treatment for other diseases. Generally speaking, functional ovarian cysts, skin cysts, serous cysts, and mucinous cysts usually have no symptoms.

If a cyst gets bigger, it may cause dull pain or swelling in the lower abdomen or back. It may also put pressure on the bladder, causing frequent or difficult urination. It may even develop into complications, become infected, become twisted, bleed, or burst.

complication:

1. Infection. Infection is rare, and its main symptoms are fever, abdominal pain, elevated white blood cell count and varying degrees of peritonitis.

2. Pedicle torsion. Pedicle torsion is relatively common and is one of the acute gynecological abdominal diseases. It is more common in cystic tumors with long pedicles, medium size, large mobility, and center of gravity biased to one side. It often occurs when the body position changes suddenly, in early pregnancy or after delivery. After the pedicle is torsion, it causes congestion, purple-brown color, and even rupture of blood vessels and bleeding. In acute pedicle torsion, the patient suddenly has severe pain in the lower abdomen. In severe cases, symptoms such as nausea, vomiting, and even shock may occur. During the examination, the abdominal wall muscles on the affected side are tense, tenderness is significant, and the mass has greater tension. After diagnosis, the tumor should be surgically removed immediately.

3. Tumor rupture. Spontaneous rupture may occur due to ischemic necrosis of the cyst wall or erosion of the cyst wall by the tumor. Traumatic rupture may occur due to squeezing, childbirth, gynecological examination, and puncture. After rupture, the cyst fluid flows into the abdominal cavity, irritating the peritoneum, causing severe abdominal pain, nausea, vomiting, and even shock. During the examination, there are signs of peritoneal irritation such as abdominal wall tension, tenderness, and rebound pain, and the original mass shrinks or disappears. After diagnosis, laparotomy should be performed immediately to remove the cyst and clean the abdominal cavity.

4. Malignant transformation. Malignant transformation of benign ovarian cysts often occurs in older women, especially postmenopausal women. The tumor grows rapidly in a short period of time, and the patient will experience abdominal distension and loss of appetite. During examination, the tumor volume is significantly increased and there is often ascites.