Ruptured ovarian cyst

Case contributed by Hidayatullah Hamidi

Presentation

Acute pelvic pain for 6 hours. Sudden drop in blood Hb level. The previous ultrasound reported an adnexal cyst.

Patient Data

Age: 25 years
Gender: Female
mri

The right ovary is bulky in size (4.4 x 4.4 x 4.2 cm), showing a shrunken cystic space (3.5 x 2.5 cm).

A moderate amount of blood signal fluid is seen in the pelvis.

The left ovary is normal.

The uterus is normal.

Case Discussion

Considering the clinical presentation and imaging findings, the features are suggestive of a ruptured adnexal with pelvic bleeding.

The patient underwent urgent surgery, and about 1 liter of blood was cleared from the pelvis.

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