Hemorrhagic ovarian cyst

Case contributed by Dr Mohammad Osama Hussein Yonso

Presentation

Patient has abdominal pain, proteinuria, anorexia and vomiting

Patient Data

Age: 15 years
Gender: Female

Pelvic ultrasound

Ultrasound

A right ovarian homogeneous hyperechoic lesion, suggestive of a hemorrhagic ovarian cyst. Minimal free fluid at the pelvis noted.

Gross pathology

Pathology

This patient went on to have surgical resection, that revealed hemorrhagic corpus luteal cyst on histopathology.

Case Discussion

A hemorrhagic ovarian cyst usually results from hemorrhage into a corpus luteum or other functional cyst.

Differential considerations on ultrasound include:

  • cystic ovarian neoplasm: the most helpful feature in distinguishing hemorrhagic cysts from ovarian neoplasms is the presence of papillary projections and nodular septa in the latter.
  • endometrioma: typically contains uniform low-level internal echoes

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