Obstetrics and Gynecology
Sedigheh Ghasemian Dizaj Mehr; Robabeh Bahadori
Volume 9, Issue 2 , March and April 2024, , Pages 231-234
Abstract
Management of hemoperitoneum due to ruptured ovarian cyst in patients on anticoagulation is a dilemma. Low threshold of surgery intervention may increase the risk of some events operatively. There is a trend for less invasive treatment in highly selected patients. We present two cases of ...
Read More
Management of hemoperitoneum due to ruptured ovarian cyst in patients on anticoagulation is a dilemma. Low threshold of surgery intervention may increase the risk of some events operatively. There is a trend for less invasive treatment in highly selected patients. We present two cases of massive hemoperitoneum due to ruptured ovarian cyst that were on anticoagulation. Successful conservative management was done in both of them and one patient, due to refractory abdominal pain, required interventional radiologic drainage, instead of surgery approach with good outcome. Ovulation suppression was started in both of them with regular uneventful follow up heretofore. Less invasive management is preferred in carefully selected patients of hemoperitoneum in women on anticoagulation. Ovulation suppression to avoid recurrence must be emphasized.
Radiology
Sedigheh Ghasemian Dizaj Mehr; Robabeh Bahadori
Volume 8, Issue 6 , November and December 2023, , Pages 637-640
Abstract
Ovarian mature cystic teratomas (OMCTs) due to their heterogeneous histologic entity, have a wide spectrum of radiologic features. A type of floating spherical globule that has been called “Sack of marble” or "Coins-in-sack,” but without a fat or calcification component that results ...
Read More
Ovarian mature cystic teratomas (OMCTs) due to their heterogeneous histologic entity, have a wide spectrum of radiologic features. A type of floating spherical globule that has been called “Sack of marble” or "Coins-in-sack,” but without a fat or calcification component that results in misdiagnosis on computed tomography (CT), is a rare finding. The patient was a 35-year-old healthy woman with abdominal pain and sonographic findings based on OMCT with the Coins-in-sack sign, whereas the CT manifestation was a unilocular huge cyst suggesting an adnexal cystadenoma. She had a final diagnosis of the Coins-in-sack variant of OMCT but with keratin balls, not common fat balls. Understanding the unconventional radiologic and histologic manifestations of OMCTs, is necessary to make an accurate diagnosis.
