Presentation
Acute right iliac fossa pain.
Patient Data
Age: 20 years
Gender: Female
From the case:
Ovarian hemorrhagic cyst
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Right ovarian avascular complex cyst with reticular internal septations measuring 4.8 cm.
Normal uterus and left ovary.
Case Discussion
The appearance is of an ovarian hemorrhagic cyst.
Small hemorrhagic cysts (<5 cm) with a typical sonographic appearance do not require routine followup - although in practice, a repeat ultrasound is often performed regardless, to alleviate clinician or patient anxiety.
In this case, the cyst measured just under 5 cm and was followed up 3 months later at which time it had resolved, confirming its benign and transient nature.
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