When does a ruptured ovarian cyst necessitate emergent surgical management?

  • ongoing significant hemorrhage 
  • suspected rupture of a dermoid cyst, which left untreated will cause dense adhesions and chronic pelvic pain. 

Source

Blechman, A. and Mann, W.  "Evaluation and management of ruptured ovarian cyst"  Up to Date.  8 Feb 2010.