Ovarian cysts ruptured 2 wk ago. Severe abdominal pain &distended abdomen, fever, sweating, nausea, free fluid in abdomen, can't pass bm. Peritonitis?

Free blood. When ovarian cysts rupture spontaneously the process is associated with release of free blood in the peritoneal cavity. This produces pain on abdominal and pelvic exam related to amt. of blood released. Peritonitis is usually not present and can be checked by blood count and exam indicating rebound tenderness associated with peritonitis.