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Hemorrhagic Cyst
Karen Y. Oh, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Hemorrhagic cyst (HC)
            • 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. 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
                                      2. 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
                                      3. Patel MD: Pitfalls in the sonographic evaluation of adnexal masses. Ultrasound Q. 28(1):29-40, 2012
                                      4. 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
                                      5. Ding Z et al: Sonographic value in diagnosis of hemorrhagic ovarian cysts. Eur J Gynaecol Oncol. 31(1):87-9, 2010
                                      6. 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
                                      7. Spinelli C et al: Hemorrhagic corpus luteum cysts: an unusual problem for pediatric surgeons. J Pediatr Adolesc Gynecol. 22(3):163-7, 2009
                                      8. 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
                                      9. Swire MN et al: Various sonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q. 20(2):45-58, 2004
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Hemorrhagic cyst (HC)
                                                • 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. 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
                                                                          2. 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
                                                                          3. Patel MD: Pitfalls in the sonographic evaluation of adnexal masses. Ultrasound Q. 28(1):29-40, 2012
                                                                          4. 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
                                                                          5. Ding Z et al: Sonographic value in diagnosis of hemorrhagic ovarian cysts. Eur J Gynaecol Oncol. 31(1):87-9, 2010
                                                                          6. 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
                                                                          7. Spinelli C et al: Hemorrhagic corpus luteum cysts: an unusual problem for pediatric surgeons. J Pediatr Adolesc Gynecol. 22(3):163-7, 2009
                                                                          8. 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
                                                                          9. Swire MN et al: Various sonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q. 20(2):45-58, 2004