link
Bookmarks
Hemorrhagic Cyst
Gayatri Joshi, MD, FAIUM
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Subscribe
0
10
2
2

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Hemorrhagic ovarian cyst (HOC)
            • Definitions

              • Hemorrhage into cystic space in ovarian parenchyma
                • Most common at time of ovulation → hemorrhagic corpus luteum (HCL)
                • May occur into follicular cyst
                • Acute hemorrhage may occur into established endometrioma

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Dawood MT et al: Adnexal torsion: review of radiologic appearances. Radiographics. 41(2):609-24, 2021
                                      2. Andreotti RF et al: O-RADS US risk stratification and management system: a consensus guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee. Radiology. 294(1):168-85, 2020
                                      3. Ayyala RS et al: Pelvic pain in the middle of the night: use of MRI for evaluation of pediatric female pathology in the emergent setting. Emerg Radiol. 24(6):681-8, 2017
                                      4. Iraha Y et al: CT and MR imaging of gynecologic emergencies. Radiographics. 37(5):1569-86, 2017
                                      5. Nakamura M et al: Postnatal outcome in cases of prenatally diagnosed fetal ovarian cysts under conservative prenatal management. Fetal Diagn Ther. 37(2):129-34, 2014
                                      6. Valentin L et al: Risk of malignancy in unilocular cysts: a study of 1148 adnexal masses classified as unilocular cysts at transvaginal ultrasound and review of the literature. Ultrasound Obstet Gynecol. 41(1):80-9, 2013
                                      7. Wasnik AP et al: Multimodality imaging of ovarian cystic lesions: review with an imaging based algorithmic approach. World J Radiol. 5(3):113-25, 2013
                                      8. Laing FC et al: US of the ovary and adnexa: to worry or not to worry? Radiographics. 32(6):1621-39; discussion 1640-2, 2012
                                      9. Patel MD: Pitfalls in the sonographic evaluation of adnexal masses. Ultrasound Q. 28(1):29-40, 2012
                                      10. Alcázar JL et al: Diagnostic performance of transvaginal gray-scale ultrasound for specific diagnosis of benign ovarian cysts in relation to menopausal status. Maturitas. 68(2):182-8, 2011
                                      11. Ding Z et al: Sonographic value in diagnosis of hemorrhagic ovarian cysts. Eur J Gynaecol Oncol. 31(1):87-9, 2010
                                      12. Levine D et al: Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference statement. Radiology. 256(3):943-54, 2010
                                      13. Spinelli C et al: Hemorrhagic corpus luteum cysts: an unusual problem for pediatric surgeons. J Pediatr Adolesc Gynecol. 22(3):163-7, 2009
                                      14. Patel MD et al: The likelihood ratio of sonographic findings for the diagnosis of hemorrhagic ovarian cysts. J Ultrasound Med. 24(5):607-14; quiz 615, 2005
                                      15. Swire MN et al: Various sonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q. 20(2):45-58, 2004
                                      Related Anatomy
                                      Loading...
                                      Related Differential Diagnoses
                                      Loading...
                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Hemorrhagic ovarian cyst (HOC)
                                                • Definitions

                                                  • Hemorrhage into cystic space in ovarian parenchyma
                                                    • Most common at time of ovulation → hemorrhagic corpus luteum (HCL)
                                                    • May occur into follicular cyst
                                                    • Acute hemorrhage may occur into established endometrioma

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Dawood MT et al: Adnexal torsion: review of radiologic appearances. Radiographics. 41(2):609-24, 2021
                                                                          2. Andreotti RF et al: O-RADS US risk stratification and management system: a consensus guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee. Radiology. 294(1):168-85, 2020
                                                                          3. Ayyala RS et al: Pelvic pain in the middle of the night: use of MRI for evaluation of pediatric female pathology in the emergent setting. Emerg Radiol. 24(6):681-8, 2017
                                                                          4. Iraha Y et al: CT and MR imaging of gynecologic emergencies. Radiographics. 37(5):1569-86, 2017
                                                                          5. Nakamura M et al: Postnatal outcome in cases of prenatally diagnosed fetal ovarian cysts under conservative prenatal management. Fetal Diagn Ther. 37(2):129-34, 2014
                                                                          6. Valentin L et al: Risk of malignancy in unilocular cysts: a study of 1148 adnexal masses classified as unilocular cysts at transvaginal ultrasound and review of the literature. Ultrasound Obstet Gynecol. 41(1):80-9, 2013
                                                                          7. Wasnik AP et al: Multimodality imaging of ovarian cystic lesions: review with an imaging based algorithmic approach. World J Radiol. 5(3):113-25, 2013
                                                                          8. Laing FC et al: US of the ovary and adnexa: to worry or not to worry? Radiographics. 32(6):1621-39; discussion 1640-2, 2012
                                                                          9. Patel MD: Pitfalls in the sonographic evaluation of adnexal masses. Ultrasound Q. 28(1):29-40, 2012
                                                                          10. Alcázar JL et al: Diagnostic performance of transvaginal gray-scale ultrasound for specific diagnosis of benign ovarian cysts in relation to menopausal status. Maturitas. 68(2):182-8, 2011
                                                                          11. Ding Z et al: Sonographic value in diagnosis of hemorrhagic ovarian cysts. Eur J Gynaecol Oncol. 31(1):87-9, 2010
                                                                          12. Levine D et al: Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference statement. Radiology. 256(3):943-54, 2010
                                                                          13. Spinelli C et al: Hemorrhagic corpus luteum cysts: an unusual problem for pediatric surgeons. J Pediatr Adolesc Gynecol. 22(3):163-7, 2009
                                                                          14. Patel MD et al: The likelihood ratio of sonographic findings for the diagnosis of hemorrhagic ovarian cysts. J Ultrasound Med. 24(5):607-14; quiz 615, 2005
                                                                          15. Swire MN et al: Various sonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q. 20(2):45-58, 2004