Hemorrhagic corpus luteal cyst

Last revised by Dr Henry Knipe on 05 Jan 2021

Hemorrhagic corpus luteal cysts result from bleeding into corpus luteal cysts.

Radiographic features

Ultrasound

Commonly described findings include:

  • complex adnexal mass
  • adnexal thick-walled cystic lesion with lace-like strands
  • adnexal thick-walled cystic lesion with low-level echoes within
  • peripheral vascularity: ring of fire sign
  • follow up ultrasound is suggested in about 2 menstrual cycles or ~ 6 weeks, especially to differentiate from an endometrioma
CT
  • thick walled peripherally enhancing cystic lesion
  • high attenuation component (45-100 HU)
  • “fluid-fluid hematocrit” level

Differential diagnosis

For ultrasound appearances consider:

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Cases and figures

  • Figure 1: surgical photography
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  • 3
    Case 1
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  • Case 2
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