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Pelvis » Female Pelvis (Gynecology)
Unilateral endometriotic cyst
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Presentation A young woman presents with history of irregular menstrual cycles and dysmenorrhoea. An ultrasound of the pelvis was performed.
 
 
 
Caption: Transvaginal sagittal view of the left ovary
Description: The left ovary shows the presence of a large unilocular cyst. The cyst shows the presence of diffuse homogeneous low-level internal echoes- appearance that is typical of an endometriotic cyst.
 
 
 
Caption: Transvaginal transverse view of the ovarian cyst
Description: The appearance that is typical of an endometrioma is again well appreciated in this transvaginal view.
 
 
 
Caption: Transverse power Doppler view of the cyst
Description: The endometrioma shows no flow on power Doppler study.
 
Differential Diagnosis Unilateral endometriotic cyst, hemorrhagic ovarian cyst
 
Final Diagnosis Unilateral endometriotic cyst
 
Follow Up The diagnosis of endometriosis was confirmed by laparoscopy.
 
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