Abstract
Background: Ultrasonography is the first complementary examination and it is an efficient method to identify different types of cystic lesions of the ovary as well as their complications.
Objective: This work aims to study ultrasound characteristics of complicated ovarian cysts and their contribution to emergency department management. Methods: It is a retrospective study of 61 patients who have consulted the emergency department, during 6 months, from November 2016 to April 2017. We included all patients consulting the emergency department for symptoms related to an ovarian cyst. Results: The average size of the cysts was 5.38± 2.27 cm long axis, ranging from 3 to 12 cm. Their wall was thin in 59 cases and thick in 4 cases. They were unilocular in 82% and multilocular in 17.5% of cases. The echogenicity of the cysts varied. The contour of the cysts was regular in 54 cases, while irregularity was shown in 9 cases. Intracystic vegetations were illustrated in 4 cases. The solid component was demonstrated in only 1 cyst. The Douglas effusion was shown in 12.7% of cases. The comparison of ultrasound findings between outpatient and hospitalized ones shows that there is no significant relationship between the following ultrasound features of ovarian cysts and hospitalization‘ s indication (p>5%). Conclusion: Pelvic ultrasound is of great benefit in the diagnosis of ovarian cysts, however, there is no significant relationship between the features of ovarian cysts and indication of hospitalization (p>5%).Keywords: Ovary, cysts, complications, emergency, ultrasonography, hospitalization.
Graphical Abstract
[PMID: 11917380]
[PMID: 2726107]
[http://dx.doi.org/10.1016/S0002-9378(96)70157-6]] [PMID: 8765264]
[http://dx.doi.org/10.1016/j.contraception.2015.01.021]] [PMID: 25661510]
[http://dx.doi.org/10.1007/s00404-018-4728-2]] [PMID: 29511797]
Call for Papers in Thematic Issues
RARE CASES IN GYNECOLOGY-OBSTETRICS
With the development of diagnostic and therapeutic techniques (such as ART techniques) and the immersion of new pathologies (such as COVID19), we are witnessing an increase in the incidence of pathologies that were previously described as rare or exceptional. the practitioner sometimes confronts difficult situations in these cases in diagnostic ...read more
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