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Original Research

Open Access

Sonographic value in diagnosis of hemorrhagic ovarian cysts

  • Z. Ding1
  • D. Zhang1,*,
  • W. Ying1
  • J. Wang1

1Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou (China)

Academic Editor: D. Zhang

DOI: 10.12892/ejgo20100187 Vol.31,Issue 1,January 2010 pp.87-89

Published: 10 January 2010

*Corresponding Author(s): D. Zhang E-mail: zhangdan61@hot.mail.cn

Abstract

Purpose: To investigate the sonographic characteristics of hemorrhagic ovarian cysts (HOC) and to avoid unnecessary surgery. Methods: 113 cases of suspected HOC underwent sonographic and clinical follow-up for three months. Results: 104 cases were clinically diagnosed with HOC as the masses disappeared naturally. The mean length of the greatest diameter was 5.12 ± 1.33 cm, and the mean period of disappearance was 3.5 ± 2.4 weeks. There were four patterns of the image: 21 cases (20.2%) showed a diffused dense echo pattern, 25 cases (24.0%) displayed a mixed pattern, 30 cases (28.8%) expressed a sponge-like pattern and 28 cases (27.0%) exhibited a cystic pattern. Ring blood flow with high velocity and low resistance was detected in 41 cases (40%) and there was no internal blood flow. Conclusion: HOC showed characteristic features on sonography, which provided useful information to differentiate HOC from ovarian tumors.

Keywords

Hemorrhagic ovarian cysts; Sonography; Color Doppler.

Cite and Share

Z. Ding,D. Zhang,W. Ying,J. Wang. Sonographic value in diagnosis of hemorrhagic ovarian cysts. European Journal of Gynaecological Oncology. 2010. 31(1);87-89.

References

[1] Stany M.P., Hamilton C.A.: “Benign disorders of the ovary”. Obstet. Gynecol. Clin. North Am., 2008, 35, 271.

[2] Tamai K., Koyama T., Saga T., Kido A., Kataoka M., Umeoka S., Fujii S., Togashi K.: “MR features of physiologic and benign conditions of the ovary”. Eur Radiol., 2006, 16, 2700-11. Epub 2006 May 31.

[3] Lee S.I.: “Radiological reasoning: imaging characterization of bilateral adnexal masses”. AJR Am. J. Roentgenol., 2006, 187 (3 suppl), S460-6.

[4] Baltarowich O.H., Kurtz A.B., Pasto M.E., Rifkin M.D., Needleman L., Goldberg B.B.: “The spectrum of sonographic findings in hemorrhagic ovarian cysts”. AJR Am. J. Roentgenol., 1987, 148, 901.

[5] Patel M.D., Feldstein V.A., Filly R.A.: “The likelihood ratio of sonographic findings for the diagnosis of hemorrhagic ovarian cysts”. J. Ultrasound Med., 2005, 24, 607-14; quiz 615.

[6] Reynold T., Hill M.C., Glassman L.M.: “Sonography of hemorrhagic ovarian cysts”. J. Clin. ultrasound, 1986, 14, 449.

[7] Swire M.N., Castro-Aragon I., Levine D.: “Various sonographic appearances of the hemorrhagic corpus luteum cyst”. Ultrasound Q., 2004, 20, 45.

[8] Jain K.: “Sonographic spectrum of hemorrhagic ovarian cysts”. J. Ultrasound Med., 2002, 21, 879.

[9] Jeffrey R.B., Laing F.: “Echogenic clot: a useful sign of pelvic hemoperitoneum”. Radiology, l982, 145, 139.

[10] Okai T., Kobayashi K., Ryo E., Kagawa H., Kozuma S., Taketani Y.: “Transvaginal sonographic appearance of hemorrhagic functional ovarian cysts and their spontaneous regression”. Int. J. Gynaecol. Obstet., 1994, 44, 47.

[11] Coelho J.C., Sigel B., Ryva J.C., Machi J., Renigers S.A.: “B-mode sonography of blood clots”. J. Clin. ultrasound, 1982, 10, 323.

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