What are the main symptoms of ruptured ovarian cyst?

Pain: A rupture cyst most commonly presents as sharp pain in the pelvis or abdomen. Sometimes patients report nausea with this pain as well. The fluid from the cyst can cause irritation to the pelvic lining and then this can cause diffuse pain and even some swelling/bloating. Sometimes, however, women have ruptured cysts and don't even know it, so it's not a given that a woman will have pain.