Functional ovarian cysts are relatively common in women of reproductive age. Most functional ovarian cysts do not cause symptoms and resolve in 1 to 2 months with expectant management. Although rupture and hemorrhage of an ovarian cyst may be physiologic events and a self-limited process, they may cause significant hemoperitoneum and require surgical intervention Most functional ovarian cysts do not cause symptoms and resolve in 1 to 2 months with expectant management . Although rupture and hemorrhage of an ovarian cyst may be physiologic events and a self-limited process, they may cause significant hemoperitoneum and require surgical intervention.

Menstruating women have rupture of a follicular cyst every cycle, which is either asymptomatic or with mild transient pain ( mittelschmerz ) . Less commonly, the rupture can be associated with significant pain. In other cases of cyst rupture…