Journal of Ultrasound in Medicine, Vol 3, Issue 11 509-513, Copyright © 1984 by American Institute of Ultrasound in Medicine
The sonographic appearance of the hemorrhagic ovarian cyst in adolescents
I. S. Bass, J. O. Haller, A. P. Friedman, J. Twersky, D. Balsam and R. Gottesman
Pelvic sonography was performed on ten teenaged girls who were proven by
surgery to have hemorrhagic ovarian cysts. Pathologically, four were
follicular ovarian cysts, while three were corpus luteal cysts, and the
exact nature of three was undetermined. At sonography, these masses had
variable appearances, ranging from anechoic to moderately echoic with septa
and thick walls. All these features are nonspecific and can be encountered
in other adnexal masses. The changing sonographic appearance of the
hemorrhagic ovarian cyst due to clot lysis is helpful in establishing the
diagnosis, and was demonstrated in two cases. These ten cases are
discussed, the varied sonographic appearances are described and a review of
pertinent literature is included.
