ABSTRACT
Emergency surgical management of an ovarian cyst is usually required because of a cyst accident. The patient presents with symptoms due to one of the following: torsion, haemorrhage, rupture or infection. All could present with acute or subacute abdominal pain, tenderness, guarding, rigidity and presence of an adnexal mass accompanied by hypovolaemia or hypotension, leucocytosis and fever. Rapid increase in size should heighten suspicion of haemorrhage into the cyst or malignant change.
