Cervical epidural lymphangioma presenting as a
hemorrhagic cyst: a case report.
In our study, we found 6 (2.88%) cases of
hemorrhagic cyst. Cysts only showing hemorrhage and hemosiderinladen macrophages under microscopic examinations were diagnosed under the category of
hemorrhagic cysts and were advised to correlate with surgical and clinical findings.
A
hemorrhagic cyst is well-circumscribed and hypoechoic, with posterior acoustic enhancement and a lacy reticular pattern of internal echoes due to fibrin strands.
Giordano, "Acute
hemorrhagic cyst of the ligamentum flavum," Journal of Spinal Disorders & Techniques, vol.
All these findings led us to suspect degenerated uterine fibroma and
hemorrhagic cyst growth in the retroperitoneum; thus, we performed total abdominal hysterectomy and bilateral salpingo-oophorectomy and retroperitoneal cystectomy.
Grossly, the mass was an 8.3 cm in greatest dimension diffusely
hemorrhagic cyst with some solid areas.
(35) Functional ovarian cysts are usually asymptomatic, but a
hemorrhagic cyst may cause pelvic pain secondary to rapid distension of the ovarian capsule or cyst rupture.
Patient underwent laparoscopic surgery with the diagnosis of
hemorrhagic cyst in the left ovary, but the ipsilateraly ovary contained a cystic endometrioma which infiltrated the first layer of the sigmoid tube.
Caption: Figure 12:
Hemorrhagic cyst. MRI GE Tl-weighted (a), TSE T2-weighted (b), contrast-enhanced GE Tl-weighted fat-sat (c), and subtracted postcontrastographic (d) image.
Chart 2: Histopathological pattern of non-neoplastic ovarian masses Endometriotic cyst 23 Corpus luteal cyst 21 Follicular cyst 4
Hemorrhagic cyst 14 Torsion 15 Infective 2 Note: Table made from pie chart.
Serious adverse events included one
hemorrhagic cyst in each group and a cholecystitis in the clomiphene group.
Of cases with abdominal pain, 43 (13.3%) were confirmed as cases of ovarian torsion by surgery and other surgical diagnoses were appendicitis (24.8%),
hemorrhagic cyst (22.9%), ectopic pregnancy (21.1%), and others (18.0%).
