A ruptured adnexal cyst will usually be associated with lower abdominal pain, anal swelling, shock and gastrointestinal symptoms. 1. Lower abdominal pain: cysts contain cystic fluid and other substances, which will irritate the peritoneum after rupture of the cyst and cause severe lower abdominal pain, which needs to be treated in the hospital immediately. 2. Anal distension: after the rupture of adnexal cysts, the fluid inside will flow to the rectum and uterine cavity, and women will have anal distension and want to defecate, but there is no bowel movement. 3. Shock: Generally, rupture of adnexal cyst will lead to hemorrhage, and women will experience dizziness, panic, pallor, drop in blood pressure and other signs of shock. 4. Gastrointestinal symptoms: in some cases, ruptured cysts can irritate the gastrointestinal tract, causing nausea and vomiting. Ruptured adnexal cysts are emergencies and should be treated in a timely manner in a hospital to clarify the cause and provide targeted treatment.