Cumulus oophorus
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At the time the article was created Matt A. Morgan had no recorded disclosures.
View Matt A. Morgan's current disclosuresAt the time the article was last revised Dennis Odhiambo Agolah had no recorded disclosures.
View Dennis Odhiambo Agolah's current disclosures- Ovigerus
- Proligerus disc
- Cumuli oophori
- Proligerus membrane
- Discus proligerus
Cumulus oophorus refers to an appearance in the ovary in which multiple granulosa cells enlarge around a developing oocyte. These support cells ("cumulus cells") serve multiple functions in the maturation of the oocyte. They may occasionally be seen during a pelvic ultrasound, and should not be confused with a pathological finding.
60-65% of the time a cumulus oophorus is visualized 12-24 hours before ovulation 3.
It comprises a collection of the cells in a mature follicle that protrude into the cavity of the follicle. It is a sign of imminent ovulation, but its absence has little significance in predicting the maturity of the oocyte.
On ultrasound, the cumulus oophorus appears as a cyst along the wall of the dominant follicle
Radiographic features
Ultrasound
- it may be seen as a small anechoic cyst (or group of cysts) around a dominant follicle
Differential diagnosis
- septated ovarian cyst: the stage of the menstrual cycle may help differentiate
References
- 1. Tanghe S, Van Soom A, Nauwynck H et-al. Minireview: Functions of the cumulus oophorus during oocyte maturation, ovulation, and fertilization. Mol. Reprod. Dev. 2002;61 (3): 414-24. doi:10.1002/mrd.10102 - Pubmed citation
- 2. Laing FC, Allison SJ. US of the ovary and adnexa: to worry or not to worry?. Radiographics. 2012;32 (6): 1621-39. doi:10.1148/rg.326125512 - Pubmed citation
- 3. Timor-Tritsch IE, Rottem S. Transvaginal sonography. Elsevier Science Ltd. ISBN:0444015779. Read it at Google Books - Find it at Amazon
- 4. Cacciatore B, Liukkonen S, Koskimies AI et-al. Ultrasonic detection of a cumulus oophorus in patients undergoing in vitro fertilization. J In Vitro Fert Embryo Transf. 1986;2 (4): 224-8. Pubmed citation
- 5. Kerin J. Ovulation Detection in the Human. Clin Reprod Fertil. 1982;1(1):27-54. - Pubmed
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