Case 52: Endometrioma || Chocolate Cyst || TVS || Ultrasound

         

Clinical Features:

A 24 years old female patient came with dysmenorrhea, predominantly pain in the left lower abdomen.

Ultrasound Features:

- A well-defined, round to oval, hypoechoic homogeneous mass with fine low-level internal echoes is noted attached to the left ovary.

- Color Doppler shows no internal vascularity.

- Thickened endometrium.

- Tiny cervical nabothian cyst.

Remember:

In case of transabdominal scan, decrease the gain to make the bladder anechoic. The adjacent simple cyst will become anechoic too but the endometrioma won’t.

Ultrasound Images:

Fig: TVS; Left ovarian endometrioma

Fig: TVS; Left ovarian endometrioma

YouTube Video Link:

https://youtu.be/yrvUS0VJblY