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Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis.

Publication ,  Journal Article
Hertzberg, BS; Kliewer, MA; Paulson, EK
Published in: Abdom Imaging
1999

BACKGROUND: To describe the spectrum of imaging findings and clinical presentations produced after rupture and hemorrhage of an ovarian cyst. METHODS: Imaging studies and hospital records of nine patients who were ultimately diagnosed with hemoperitoneum from a ruptured ovarian cyst were reviewed and categorized. RESULTS: Hemoperitoneum from a ruptured ovarian cyst presented a range of imaging findings. Although the imaging findings were dominated by hemoperitoneum, at least a vestige of the cyst could be identified in seven patients. The diagnosis of hemoperitoneum from a ruptured ovarian cyst was favored in only four of nine patients after the initial imaging study. CONCLUSIONS: A ruptured ovarian cyst can produce massive hemoperitoneum, with clinical symptomatology and sonographic features that closely mimic those of other disorders, in particular ectopic pregnancy. Considering the likelihood of both clinical and radiologic misdiagnosis, the radiologist should consider and pursue the diagnosis of a ruptured hemorrhagic ovarian cyst in a woman of child-bearing age who presents with pelvic pain and a large amount of complicated intraperitoneal fluid.

Duke Scholars

Published In

Abdom Imaging

DOI

ISSN

0942-8925

Publication Date

1999

Volume

24

Issue

3

Start / End Page

304 / 308

Location

United States

Related Subject Headings

  • Ultrasonography
  • Tomography, X-Ray Computed
  • Rupture, Spontaneous
  • Ovarian Cysts
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Hemoperitoneum
  • Female
  • Diagnostic Errors
  • Adult
 

Citation

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ICMJE
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Hertzberg, B. S., Kliewer, M. A., & Paulson, E. K. (1999). Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Abdom Imaging, 24(3), 304–308. https://doi.org/10.1007/s002619900502
Hertzberg, B. S., M. A. Kliewer, and E. K. Paulson. “Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis.Abdom Imaging 24, no. 3 (1999): 304–8. https://doi.org/10.1007/s002619900502.
Hertzberg BS, Kliewer MA, Paulson EK. Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Abdom Imaging. 1999;24(3):304–8.
Hertzberg, B. S., et al. “Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis.Abdom Imaging, vol. 24, no. 3, 1999, pp. 304–08. Pubmed, doi:10.1007/s002619900502.
Hertzberg BS, Kliewer MA, Paulson EK. Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis. Abdom Imaging. 1999;24(3):304–308.
Journal cover image

Published In

Abdom Imaging

DOI

ISSN

0942-8925

Publication Date

1999

Volume

24

Issue

3

Start / End Page

304 / 308

Location

United States

Related Subject Headings

  • Ultrasonography
  • Tomography, X-Ray Computed
  • Rupture, Spontaneous
  • Ovarian Cysts
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Hemoperitoneum
  • Female
  • Diagnostic Errors
  • Adult