Ovarian cyst - Revision history

Rossdonaldson1: /* Background */

2024-12-11T20:51:44Z

Background

← Older revision		Revision as of 20:51, 11 December 2024
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	==Background==		==Background==
			[[File:Relative incidences of ovarian cysts.jpg\|thumb\|Relative incidences of different types of ovarian cysts.<ref> Abduljabbar, Hassan S.; Bukhari, Yasir A.; Hachim, Estabrq G. Al; Ashour, Ghazal S.; Amer, Afnan A.; Shaikhoon, Mohammed M.; Khojah, Mohammed I. (July 2015). "Review of 244 cases of ovarian cysts". Saudi Medical Journal. 36 (7): 834–838. doi:10.15537/smj.2015.7.11690. PMC 4503903. PMID 26108588.</ref>]]
			[[File:Blausen 0732 PID-Sites.png\|thumb\|Female pelvic anatomy.]]
	*Most common are functional or follicular cysts		*Most common are functional or follicular cysts
	*Less common include PCOS, cystadenomas, and dermoid cysts		*Less common include PCOS, cystadenomas, and dermoid cysts
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	*Cysts are at risk of torsion when >4cm		*Cysts are at risk of torsion when >4cm
	*Cysts <2cm are virtually risk free from torsion		*Cysts <2cm are virtually risk free from torsion

	[[File:Relative incidences of ovarian cysts.jpg\|thumb\|Relative incidences of different types of ovarian cysts.<ref> Abduljabbar, Hassan S.; Bukhari, Yasir A.; Hachim, Estabrq G. Al; Ashour, Ghazal S.; Amer, Afnan A.; Shaikhoon, Mohammed M.; Khojah, Mohammed I. (July 2015). "Review of 244 cases of ovarian cysts". Saudi Medical Journal. 36 (7): 834–838. doi:10.15537/smj.2015.7.11690. PMC 4503903. PMID 26108588.</ref>]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Differential Diagnosis */

2023-05-03T16:32:45Z

Differential Diagnosis

← Older revision		Revision as of 16:32, 3 May 2023
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Pelvic pain DDX}}
	{{Abd DDX RLQ}}		{{Abd DDX RLQ}}
	{{LLQ DDX}}		{{LLQ DDX}}

Rossdonaldson1 at 15:15, 9 June 2022

2022-06-09T15:15:04Z

← Older revision		Revision as of 15:15, 9 June 2022
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	*Cysts <2cm are virtually risk free from torsion		*Cysts <2cm are virtually risk free from torsion

	[[File:Relative incidences of ovarian cysts.jpg\|thumb]]		[[File:Relative incidences of ovarian cysts.jpg\|thumb\|Relative incidences of different types of ovarian cysts.<ref> Abduljabbar, Hassan S.; Bukhari, Yasir A.; Hachim, Estabrq G. Al; Ashour, Ghazal S.; Amer, Afnan A.; Shaikhoon, Mohammed M.; Khojah, Mohammed I. (July 2015). "Review of 244 cases of ovarian cysts". Saudi Medical Journal. 36 (7): 834–838. doi:10.15537/smj.2015.7.11690. PMC 4503903. PMID 26108588.</ref>]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Background */

2022-06-07T22:48:45Z

Background

← Older revision		Revision as of 22:48, 7 June 2022
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	*Cysts <2cm are virtually risk free from torsion		*Cysts <2cm are virtually risk free from torsion

	[[File:Relative incidences of ovarian cysts.jpg\|~~Relative incidences of ovarian cysts.jpg~~]]		[[File:Relative incidences of ovarian cysts.jpg\|thumb]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Background */

2022-06-07T22:48:17Z

Background

← Older revision		Revision as of 22:48, 7 June 2022
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	*Cysts are at risk of torsion when >4cm		*Cysts are at risk of torsion when >4cm
	*Cysts <2cm are virtually risk free from torsion		*Cysts <2cm are virtually risk free from torsion

			[[File:Relative incidences of ovarian cysts.jpg\|Relative incidences of ovarian cysts.jpg]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Evaluation */

2021-12-02T19:36:55Z

Evaluation

← Older revision		Revision as of 19:36, 2 December 2021
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	==Evaluation==		==Evaluation==
			[[File:PMC4603210 usg-15013-f2.png\|thumb\|Ultrasound demonstrates a simple ovarian cyst greater than 3 cm in size consistent with a follicular cyst.]]
			[[File:Ovarian Cyst Singh.gif\|thumbnail\|Transvaginal ultrasound showing ovarian cyst<ref>http://www.thepocusatlas.com/obgyn/</ref>]]
			[[File:PMC3369119 13244 2012 157 Fig2 HTML.png\|thumb\|Ruptured hemorrhagic cyst. (a) CT with bilateral low-density cystic lesions (white arrows). There is extensive hyperdense free pelvic fluid representing hemorrhagic ascites (black arrow). (b) Trans-abdominal ultrasound shows free fluid containing low level echoes in the pelvis (black arrow). There is an adnexal cyst in the pelvis representing the right hemorrhagic ovarian cyst (white arrow).]]
	===Workup===		===Workup===
	*CBC, chemistry		*CBC, chemistry
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	===Diagnosis===		===Diagnosis===
	~~[[File:PMC4603210 usg-15013-f2.png\|thumb\|Ultrasound demonstrates a simple ovarian cyst greater than 3 cm in size consistent with a follicular cyst.]]~~
	~~[[File:Ovarian Cyst Singh.gif\|thumbnail\|Transvaginal ultrasound showing ovarian cyst<ref>http://www.thepocusatlas.com/obgyn/</ref>]]~~
	*Typically diagnosed on ultrasound, with same side of pain and absence of other concerning etiologies (e.g. negative UA, not pregnant)		*Typically diagnosed on ultrasound, with same side of pain and absence of other concerning etiologies (e.g. negative UA, not pregnant)
	*Check hemoglobin level to assess for blood loss		*Check hemoglobin level to assess for blood loss

ClaireLewis at 01:44, 4 October 2019

2019-10-04T01:44:04Z

← Older revision		Revision as of 01:44, 4 October 2019
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	*Most tend to be asymptomatic		*Most tend to be asymptomatic
	*Can cause:		*Can cause:
	**Dull pelvic pain or fullness		**Dull [[pelvic pain]] or fullness; they can be significantly painful if ruptured
	**~~Dyspaneuria~~		**Dyspareunia
	**Pressure on the bladder		**Pressure on the bladder
	*They can be significantly painful if ruptured		*If there is bleeding into the cyst and it ruptures, it can be life threatening, with signs of [[peritonitis]], [[shock]]
	*If there is bleeding into the cyst and it ruptures, it can be life threatening

	==Differential Diagnosis==		==Differential Diagnosis==
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	===Workup===		===Workup===
	*CBC, chemistry		*CBC, chemistry
	*UA, urine pregnancy		*[[UA]], urine pregnancy
	*Pelvic ultrasound		*[[Pelvic ultrasound]]
	*Consider CT A/P to rule out other etiologies (e.g. [[appendicitis]])		*Consider CT A/P to rule out other etiologies (e.g. [[appendicitis]])

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	==Disposition==		==Disposition==
	*Home		*Home, unlessed ruptured with concern for significant blood loss
	*Follow up with OBGyn		*Follow up with OBGyn

Rossdonaldson1: /* Management */

2019-07-01T18:40:09Z

Management

← Older revision		Revision as of 18:40, 1 July 2019
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	*[[NSAIDs]]		*[[NSAIDs]]
	*Oral contraceptives		*Oral contraceptives
	**No benefit has been found though ~~Gyn~~ may suggest them<ref>Cochrane Database Syst Rev 2011. Sep 7;(9):CD006134.</ref>		**No benefit has been found though gynecology may suggest them<ref>Cochrane Database Syst Rev 2011. Sep 7;(9):CD006134.</ref>
			*Ensure that patient does not have significant anemia/free fluid in pelvis
			**Consider repeat hemoglobin of observation period if concern for ruptured cyst with significant bleeding

	==Disposition==		==Disposition==

Rossdonaldson1: /* Evaluation */

2019-07-01T18:39:04Z

Evaluation

← Older revision		Revision as of 18:39, 1 July 2019
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	==Evaluation==		==Evaluation==
			===Workup===
			*CBC, chemistry
			*UA, urine pregnancy
			*Pelvic ultrasound
			*Consider CT A/P to rule out other etiologies (e.g. [[appendicitis]])

			===Diagnosis===
	[[File:PMC4603210 usg-15013-f2.png\|thumb\|Ultrasound demonstrates a simple ovarian cyst greater than 3 cm in size consistent with a follicular cyst.]]		[[File:PMC4603210 usg-15013-f2.png\|thumb\|Ultrasound demonstrates a simple ovarian cyst greater than 3 cm in size consistent with a follicular cyst.]]
	[[File:Ovarian Cyst Singh.gif\|thumbnail\|Transvaginal ultrasound showing ovarian cyst<ref>http://www.thepocusatlas.com/obgyn/</ref>]]		[[File:Ovarian Cyst Singh.gif\|thumbnail\|Transvaginal ultrasound showing ovarian cyst<ref>http://www.thepocusatlas.com/obgyn/</ref>]]
	*~~Bimanual exam~~		*Typically diagnosed on ultrasound, with same side of pain and absence of other concerning etiologies (e.g. negative UA, not pregnant)
	**Adenexal mass		*Check hemoglobin level to assess for blood loss
	**Adenexal tenderness
	*Ultrasound
	**Absence of cyst may suggest rupture

	==Management==		==Management==

Rossdonaldson1: /* Differential Diagnosis */

2019-07-01T18:35:15Z

Differential Diagnosis

← Older revision		Revision as of 18:35, 1 July 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	~~===Right===~~
	{{Abd DDX RLQ}}		{{Abd DDX RLQ}}
			{{LLQ DDX}}
	~~===Left===~~
	{{~~Template:~~LLQ DDX}}

	==Evaluation==		==Evaluation==