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Hemorrhagic Ovarian Cyst
Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Functional (usually corpus luteum) cyst with internal hemorrhage

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Corwin MT et al: Differentiation of ovarian endometriomas from hemorrhagic cysts at MR imaging: utility of the T2 dark spot sign. Radiology. 271(1):126-32, 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. Ding Z et al: Sonographic value in diagnosis of hemorrhagic ovarian cysts. Eur J Gynaecol Oncol. 31(1):87-9, 2010
                                        5. 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
                                        6. Vandermeer FQ et al: Imaging of acute pelvic pain. Clin Obstet Gynecol. 52(1):2-20, 2009
                                        7. Kamaya A et al: Emergency gynecologic imaging. Semin Ultrasound CT MR. 2008 Oct;29(5):353-68. Review. Erratum in: Semin Ultrasound CT MR. 29(6):491, 2008
                                        8. Kanso HN et al: Variable MR findings in ovarian functional hemorrhagic cysts. J Magn Reson Imaging. 24(2):356-61, 2006
                                        9. Kurioka H et al: Hemorrhagic ovarian cyst without peritoneal bleeding in a patient with ovarian hyperstimulation syndrome: case report. Chin Med J (Engl). 118(18):1577-81, 2005
                                        10. 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
                                        11. Kives SL et al: Ruptured hemorrhagic cyst in an undescended ovary. J Pediatr Surg. 39(11):e4-6, 2004
                                        12. Swire MN et al: Various sonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q. 20(2):45-58, 2004
                                        13. Teng SW et al: Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum. J Am Assoc Gynecol Laparosc. 10(4):474-7, 2003
                                        14. Jain KA: Sonographic spectrum of hemorrhagic ovarian cysts. J Ultrasound Med. 21(8):879-86, 2002
                                        15. Hertzberg BS et al: Adnexal ring sign and hemoperitoneum caused by hemorrhagic ovarian cyst: pitfall in the sonographic diagnosis of ectopic pregnancy. AJR Am J Roentgenol. 173(5):1301-2, 1999
                                        16. Hertzberg BS et al: Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Abdom Imaging. 24(3):304-8, 1999
                                        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

                                                TERMINOLOGY

                                                • Definitions

                                                  • Functional (usually corpus luteum) cyst with internal hemorrhage

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Corwin MT et al: Differentiation of ovarian endometriomas from hemorrhagic cysts at MR imaging: utility of the T2 dark spot sign. Radiology. 271(1):126-32, 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. Ding Z et al: Sonographic value in diagnosis of hemorrhagic ovarian cysts. Eur J Gynaecol Oncol. 31(1):87-9, 2010
                                                                              5. 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
                                                                              6. Vandermeer FQ et al: Imaging of acute pelvic pain. Clin Obstet Gynecol. 52(1):2-20, 2009
                                                                              7. Kamaya A et al: Emergency gynecologic imaging. Semin Ultrasound CT MR. 2008 Oct;29(5):353-68. Review. Erratum in: Semin Ultrasound CT MR. 29(6):491, 2008
                                                                              8. Kanso HN et al: Variable MR findings in ovarian functional hemorrhagic cysts. J Magn Reson Imaging. 24(2):356-61, 2006
                                                                              9. Kurioka H et al: Hemorrhagic ovarian cyst without peritoneal bleeding in a patient with ovarian hyperstimulation syndrome: case report. Chin Med J (Engl). 118(18):1577-81, 2005
                                                                              10. 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
                                                                              11. Kives SL et al: Ruptured hemorrhagic cyst in an undescended ovary. J Pediatr Surg. 39(11):e4-6, 2004
                                                                              12. Swire MN et al: Various sonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q. 20(2):45-58, 2004
                                                                              13. Teng SW et al: Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum. J Am Assoc Gynecol Laparosc. 10(4):474-7, 2003
                                                                              14. Jain KA: Sonographic spectrum of hemorrhagic ovarian cysts. J Ultrasound Med. 21(8):879-86, 2002
                                                                              15. Hertzberg BS et al: Adnexal ring sign and hemoperitoneum caused by hemorrhagic ovarian cyst: pitfall in the sonographic diagnosis of ectopic pregnancy. AJR Am J Roentgenol. 173(5):1301-2, 1999
                                                                              16. Hertzberg BS et al: Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Abdom Imaging. 24(3):304-8, 1999