Hemorrhagic ovarian cyst

Case contributed by Dr Mohammad Osama Yonso

Presentation

Patient has abdominal pain, proteinuria, anorexia and vomiting

Patient Data

Age: 15 years
Gender: Female
Ultrasound

Pelvic ultrasound

Hemorrhagic ovarian cyst.

Pathology

Gross pathology

This patient went on to have surgical resection. 

Case Discussion

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

Differential diagnosis

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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Case information

rID: 17833
Published: 16th May 2012
Last edited: 4th Dec 2015
System: Gynaecology
Inclusion in quiz mode: Included

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