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Sonographic Spectrum of Hemorrhagic Ovarian Cysts

Department of Radiology, University of California Davis Medical Center, Sacramento, California.

Address correspondence and reprint requests to Kiran A. Jain, MD, Department of Radiology, University of California Davis Medical Center, 4860 Y St, Suite 3100, Sacramento, CA 95817.

Objective. To present the spectrum of sonographic findings associated with hemorrhagic ovarian cysts. Methods. Experience with making specific and correct diagnosis of hemorrhagic cysts with the use of sonography was reviewed, and the spectrum of sonographic findings was identified. Results. Endovaginal sonography facilitated excellent visualization of internal architectural details of an adnexal mass, which enabled specific diagnosis of hemorrhagic cysts instead of other adnexal masses. Conclusions. A hemorrhagic cyst is a common and important entity to recognize and diagnose correctly, and because it can be confused with more ominous conditions, it is important to recognize its specific diagnostic patterns.

Abbreviations: hCG, human chorionic gonadotropin • HOC, hemorrhagic ovarian cyst

Key Words: cystic mass • hemorrhagic cysts • reticular pattern • sonogram

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