What is the role of lab tests in the workup of ovarian cyst rupture?

Updated: Dec 20, 2018
  • Author: Charles Nathan Webb, MD, MS; Chief Editor: Nicole W Karjane, MD  more...
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Answer

Serum or urine pregnancy testing should be performed. In the case of a positive result, the patient should be evaluated for ectopic pregnancy. If concerned regarding possible hemorrhage, monitor the hematocrit (serially, if necessary) to ensure there is no continued bleeding.

If the diagnosis is unclear, urinalysis should be performed to identify a possible urinary tract infection or renal or bladder stones. Blood, urine, and cervical cultures may also be indicated rule out pelvic inflammatory disease or urinary tract infections.

Blood type and cross-match are indicated in patients with significant peritoneal signs or hemodynamic instability, because such patients may require surgical intervention or blood transfusion.


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