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Paraovarian cysts or paratubal cysts are epithelium-lined fluid-filled cysts in the adnexa adjacent to the fallopian tube and ovary. The terms are used interchangeably, [ 1 ] and depend on the location of the cyst.
Ovarian cysts are usually diagnosed by pelvic ultrasound, CT scan, or MRI, and correlated with clinical presentation and endocrinologic tests as appropriate. [15] Ultrasound is the most important imaging modality, as abnormalities seen in a CT scan sometimes prove to be normal in ultrasound.
Endometrioma (also called chocolate cyst) is the presence of tissue similar to, but distinct from, the endometrium in and sometimes on the ovary. It is the most common form of endometriosis . [ 1 ] Endometrioma is found in 17–44% patients with endometriosis.
The most common causes for adnexal masses in premenopausal women include follicular cysts and corpus luteum cysts. Abscesses can form as a complication of pelvic inflammatory disease . In postmenopausal women, adnexal masses may be caused by cancer , fibroids , fibromas , or diverticular abscesses.
Peritoneal inclusion cysts are commonly visualized on ultrasonography as a spider-web-like pattern. A normal-looking ovary is encircled by a big, irregular or oval, echolucent cyst with fine internal septations. The ovary is frequently located in the middle of the inclusion cyst or on its lateral aspect, appearing to be dangling inside the cyst ...
Theca lutein cyst is a type of bilateral functional ovarian cyst filled with clear, straw-colored fluid. These cysts result from exaggerated physiological stimulation (hyperreactio luteinalis) due to elevated levels of beta- human chorionic gonadotropin (beta-hCG) or hypersensitivity to beta-hCG.
A second specialist ultrasound exam remains preferable to a CT scan. [ citation needed ] As a wide range of pelvic and abdominal pathology can cause symptoms consistent with those symptoms due to left ovarian vein reflux, prior to embolisation of the left ovarian vein, a careful search for such diagnoses is essential.
However, a small hydrosalpinx may be missed by sonography. During an infertility work-up a hysterosalpingogram, an X-ray procedure that uses a contrast agent to image the fallopian tubes, shows the retort-like shape of the distended tubes and the absence of spillage of the dye into the peritoneum. If, however, there is a tubal occlusion at the ...
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