Haemorrhagic ovarian cyst
24 year old female presenting with 1-2 weeks of lower abdo/pelvic pain, some associated PV bleeding and discharge, some mild fever and recent abdominal trauma sustained from a fall while skiing.
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Transabdominal and transvaginal pelvic ultrasound was performed with the patient's consent. A normal appearing anteverted, anti-flexed uterus is present. Endometrial stripe (trilaminar) measures 5mm. The right ovary has a normal appearance. The left ovary is intimately related to an exophytic complex cystic mass measuring 3.6 x x3 x 4.1cm. It has an US appearance most in keeping with an haemorrhagic cyst. A serum beta HCG was performed to exclude an ectopic pregnancy (normal). No other adnexal mass or free pelvic fluid identified.
A likely haemorrhagic left ovarian cyst. repeat US to exclude underlying neoplasm/endometrial cyst is recommended in 6 weeks time.
Acknowledgment: Dr Damien Stella