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Ruptured ovarian cyst

McArthur SAM - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Ruptured ovarian cyst

History: 39 year old female presents with chief complaint of severe, acute onset right lower quadrant (RLQ) pain following exercise. Patient denies systemic symptoms (fever, chills, sweats), gastrointestinal complaints, and history of sexually transmitted disease. She is uncertain of her last menstrual period.

Findings: 1. Collapsed Ovarian Cyst [Arrowhead]: small (1.6cm) right adnexal hypodensity with hyperdense rim. 2. Clot [measurement]: large (9x5x12cm)heterogeneous mass (density 50-70 Hounsfield units)in the rectouterine fossa (Pouch of Douglas) resulting in displacement of the uterus anteriorly and rectum posterolaterally. 3. Intra-uterine device [Arrow] 4. B: bladder 5. U: uterus 6. Not depicted on images presented for review: perisplenic and perihepatic fluid.

Ddx: Hemoperitoneum in female >> Ruptured ectopic pregnancy >> Ruptured hemorrhagic ovarian cyst >> Endometrioma >> Peptic Ulcer Disease >> Trauma

Dxhow: Surgical (laproscopic).

Exam: Abdomen/Pelvis: >> mild distension >> tenderness to palpation in RLQ without rebound or guarding >> anteverted uterus, equivocal cervical motion tenderness, right adnexal tenderness Labs: >> Hct 34 >> BHCG pending

No MeSH data available.


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Ruptured ovarian cyst

McArthur SAM - MedPix (2006)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1005&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Ruptured ovarian cyst

History: 39 year old female presents with chief complaint of severe, acute onset right lower quadrant (RLQ) pain following exercise. Patient denies systemic symptoms (fever, chills, sweats), gastrointestinal complaints, and history of sexually transmitted disease. She is uncertain of her last menstrual period.

Findings: 1. Collapsed Ovarian Cyst [Arrowhead]: small (1.6cm) right adnexal hypodensity with hyperdense rim. 2. Clot [measurement]: large (9x5x12cm)heterogeneous mass (density 50-70 Hounsfield units)in the rectouterine fossa (Pouch of Douglas) resulting in displacement of the uterus anteriorly and rectum posterolaterally. 3. Intra-uterine device [Arrow] 4. B: bladder 5. U: uterus 6. Not depicted on images presented for review: perisplenic and perihepatic fluid.

Ddx: Hemoperitoneum in female >> Ruptured ectopic pregnancy >> Ruptured hemorrhagic ovarian cyst >> Endometrioma >> Peptic Ulcer Disease >> Trauma

Dxhow: Surgical (laproscopic).

Exam: Abdomen/Pelvis: >> mild distension >> tenderness to palpation in RLQ without rebound or guarding >> anteverted uterus, equivocal cervical motion tenderness, right adnexal tenderness Labs: >> Hct 34 >> BHCG pending

No MeSH data available.