Presentation
Patient has abdominal pain, proteinuria, anorexia and vomiting
Patient Data
Age: 15 years
Gender: Female
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A right ovarian homogeneous hyperechoic lesion, suggestive of a hemorrhagic ovarian cyst. Minimal free fluid at the pelvis noted.
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This patient went on to have surgical resection, that revealed hemorrhagic corpus luteal cyst on histopathology.
Case Discussion
A hemorrhagic ovarian cyst usually results from hemorrhage into a corpus luteum or other functional cyst.
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