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%).