Diagnosis and management of ovarian cyst accidents

Bottomley, C.; Bourne, Tom

doi:10.1016/j.bpobgyn.2009.02.001

Cited by 128 publications

(130 citation statements)

References 60 publications

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“…25 The majority of ovarian cysts are benign. 25 Rupture of an ovarian cyst commonly presents as sudden onset of lower abdominal and/or pelvic pain. This presentation may be similar to an ovarian torsion and/or a hemorrhagic cyst.…”

Section: 24mentioning

confidence: 99%

“…Other ultrasonographic findings include free peritoneal fluid. 25 Ruptured ovarian cysts are usually managed expectantly with analgesia and observation.…”

Section: 24mentioning

confidence: 99%

“…Pain from a hemorrhagic cyst is probably due to stretching of the ovarian capsule, as opposed to pain from ovarian cyst rupture which is due to peritoneal irritation. 25 Similar to ovarian torsion and ruptured ovarian cysts, patients with a hemorrhagic cyst also present with unilateral lower abdominal and/or pelvic pain associated with nausea, vomiting and/or vaginal bleeding. The patient in case 4 is a 32-year-old female (G0P0) with a 1-week history of dull right sided abdominal and pelvic pain.…”

Section: Case 4: Hemorrhagic Ovarian Cystmentioning

confidence: 99%

“…As with both adnexal torsion and ruptured ovarian cyst, ultrasound is the initial imaging investigation of choice: Low cost, easy accessibility and no radiation exposure. 25 Because hemorrhagic cysts evolve in different stages, fresh blood on the ultrasound initially appears anechoic, later transforming to a blood clot (echogenic content with thin septations) and finally resolving. 25,26 The echogenicity of the hemorrhagic cyst diminishes as the red blood cell undergoes hemolysis.…”

Section: Case 4: Hemorrhagic Ovarian Cystmentioning

confidence: 99%

“…25 Because hemorrhagic cysts evolve in different stages, fresh blood on the ultrasound initially appears anechoic, later transforming to a blood clot (echogenic content with thin septations) and finally resolving. 25,26 The echogenicity of the hemorrhagic cyst diminishes as the red blood cell undergoes hemolysis. 26 The typical appearance on ultrasound is that of an enlarged ovary containing multiple echogenic areas (representing blood clots) in a reticular pattern due to clot (representing fibrin strands, not tissue septations) retraction.…”

Section: Case 4: Hemorrhagic Ovarian Cystmentioning

confidence: 99%

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Role of Ultrasound in the Evaluation of Acute Pelvic Pain in Nonpregnant Reproductive Age Patients

N¹

2012

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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In an emergency setting pelvic ultrasound is the tool of choice for the evaluation of the patients presenting with acute pelvic pain. It has a high sensitivity and specificity for detection of pelvic pathology, low cost, widespread availability and lack of ionizing radiation. This article presents a variety of case scenarios regarding the nonpregnant female of reproductive age presenting with acute pelvic and lower abdominal pain. By using illustrative images, the reader will be able to differentiate between the most common causes of abdominal and/or pelvic pain and identify typical B-mode and color Doppler ultrasound findings and CT images that require immediate treatment, while minimizing the performance of unnecessary additional imaging and invasive procedures.

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Section: 24mentioning

confidence: 99%

“…Other ultrasonographic findings include free peritoneal fluid. 25 Ruptured ovarian cysts are usually managed expectantly with analgesia and observation.…”

Section: 24mentioning

confidence: 99%

Section: Case 4: Hemorrhagic Ovarian Cystmentioning

confidence: 99%