Sonography of hemorrhagic XXXX .

@entity1 @entity42 @entity43 @entity158
The sonographic appearance of hemorrhagic @entity42 (HOC) has received little attention aside from a recent report in adolescent @entity1 . We reviewed the sonographic findings in 14 adults with 15 pathologically proven HOC to see whether there were any consistent sonographic findings that, along with the clinical history, might make possible the diagnosis. The majority (93%) of @entity1 presented with the abrupt onset of lower abdominal or pelvic @entity158 , and each, when clinically appropriate, had a negative serum pregnancy test. Sonographically, all of the masses were cystic except one. The cyst wall was thin and well defined in six cases and thick and irregular in eight. The majority (87%) had internal echoes. These echoes were scattered and low level or diffuse and homogeneous (27%) or complex and echogenic (53%) in nature. Two cysts had numerous septations, and another had a fluid--debris interface. If the @entity158 subsides and the hematocrit remains stable, the premenopausal @entity1 can be managed conservatively. Sonographic follow-up is recommended so that an underlying @entity43 can be excluded. This was present in three of our @entity1 , two of whom were postmenopausal.
