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Case #27

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Demographics: 26 years old, Female
Indication: Lower abdominal pain

Case #27

Findings

Lower chest

  • No acute findings

Abdomen/Pelvis

  • 3.3 cm left ovarian cyst with adjacent high attenuation material
  • 2.3 cm peripherally enhancing cystic lesion along the left vaginal introitus with surrounding fat stranding
  • Small volume intermediate attenuation fluid layering in the anatomic pelvis
  • Normal appendix

MSK

  • No acute findings

Diagnosis

Ruptured ovarian cyst

Infected Bartholin gland cyst

Sample Report

Findings suggestive of ruptured left ovarian cyst with associated small volume hemoperitoneum.

Left Bartholin gland cyst with surrounding inflammation, which could represent superinfection. Recommend correlation with exam.

Normal appendix.

Discussion

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References

  • Hosseinzadeh K, Heller MT, Houshmand G. Imaging of the female perineum in adults. Radiographics 2012; 32: E129-E168.
  • Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynaecologic origin in nonpregnant premenopausal patients. Radiographics 2008; 28: 1645-1659.

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