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Doctor insights on: Dermoid Ovarian Cyst Pelvic Fluid Intense Pain

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Would a pelvic ultrasound show when a dermoid ovarian cyst has ruptured? What would it show?

Would a pelvic ultrasound show when a dermoid ovarian cyst has ruptured? What would it show?

Rupture is serious: Dermoids can have hair and teeth in them, so are complex on U/S,. The black stuff in the picture is hair. They often grow slowly but rarely rupture. If so, it's like appendicitis and needs immediate surgery. U/S is a good screen for ovarian masses, but with a "surgical pelvis" CT is done. An early sign of impending rupture on U/S might be fluid in the pelvis, but this is not diagnostic. ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


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Can a dermoid ovarian cyst leak or bleed without rupturing? Have trace amount of fluid in cul du sac but dr didn't mention rupture, just follow up 3mo

Can a dermoid ovarian cyst leak or bleed without rupturing? Have trace amount of fluid in cul du sac but dr didn't mention rupture, just follow up 3mo

Maybe normal: There can be a normal amount of fluid in the cul du sac, but it depends on the amount of fluid seen. I encourage you to reach out to your doctor and question this finding. ...Read more

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Left pelvic pain, bilateral ovarian cyst R 2.8 L 2.4, Lcyst septated (CUL-DE-SAC normal. No fluid or mass)Normal Doppler and spectral limits. Meaning?

Left pelvic pain, bilateral ovarian cyst R 2.8 L 2.4, Lcyst septated (CUL-DE-SAC normal. No fluid or mass)Normal Doppler and spectral limits. Meaning?

Small septated cyst: Cysts that small are frequently part of normal ovulation. A cyst is simply a fluid filled sac on the ovary. A septated cyst means that there is a tissue wall dividing the cyst into at least two parts. A small septated cyst can still be normal but sometimes the ultrasound is repeated to make sure that it goes away as most do. The other things mentioned are normal. Best Wishes! ...Read more

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30/f endometriosis and ovarian cysts had left ovary and tube removed. Had fluid drained off pelvis 6 months later. Now i'm in horrible pain.

30/f endometriosis and ovarian cysts had left ovary and tube removed. Had fluid drained off pelvis 6 months later. Now i'm in horrible pain.

You suffering sole: 30's female with endometriosis is one of a multitude of suffering persons. Doctors do not know cause. Unfortunately operative procedures of the pelvic cavity tissues can arouse adhesions. I have often wondered at incidence of bowel obstruction ; irritable bowel syndrome as function of serial operative procedures many endometriosis patients undergo. ...Read more

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I have 3 ovarian cysts, one on tube. Have fluid in pelvis. Getting us in a few weeks. Now abnormal pap. Getting colposcopy. Should I be worried?

I have 3 ovarian cysts, one on tube. Have fluid in pelvis.  Getting us in a few weeks. Now abnormal pap.  Getting colposcopy.  Should I be worried?

Don't worry, but: whoa! Ovarian cysts aren't on tubes so you either have 2 ovarian cysts and one tubal (?), or 3 ovarian cysts. This is not to worry about by itself. Fluid in the pelvis? All people have small fluid, and all women have fluid around ovulation and around menstruation. Fluid doesn't automatically mean problems. Bad Pap goes with colposcopy but not the other issues. Your doc can clarify more. Best! ...Read more

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I had MRI done on hips finding mildly complex heterogeneous 3.9x3.4x3.8cm ovarian cyst with presence of moderate free fluid within pelvis how serious?

I had MRI done on hips finding mildly complex heterogeneous 3.9x3.4x3.8cm ovarian cyst with presence of moderate free fluid within pelvis how serious?

At your age,: this is most likely a benign hemorrhagic cyst, but it needs to be followed up with your gyn and probably follow up ultrasounds to see if it resolves. ...Read more

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I recently had a MRI on my hips which shows mildly complex heterogeneous ovarian cyst and presence of free fluid within the pelvis How serious is this

I recently had a MRI on my hips which shows mildly complex heterogeneous ovarian cyst and presence of free fluid within the pelvis How serious is this

Hard to say: It is hard to say since there are many different causes of these findings. The first thing recommended should be a pelvic ultrasound with doppler flow studies.The cyst can be a functional cyst with hemorragh (caused by the function of the ovary-ovulation),an endometrioma, a cystic teratoma or dermoid, or a cancer. The doppler flow will be increased if it is cancer. ...Read more

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Thick walled noncalcified 4.3 4.7 4.7 CM complex possible hemorrhagic ovarian cyst with debri and free fluid in pelvis Severe pain ER said see gyn?

Thick walled noncalcified 4.3 4.7 4.7 CM complex possible hemorrhagic ovarian cyst with debri and free fluid in pelvis Severe pain ER said see gyn?

Agreed: Agreed- you may need surgery to stop the hemorrhaging and the gyn is the doc to see for this determination. Don't wait too long if you're in that much pain. ...Read more

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Ct scan showed free fluid from ruptured ovarian cyst follow up ultras showed pelvic fluild dr said no there was not a ruptured cyst how can they tell?

Cyst rupture or not?: The free fluid could be from a ruptured ovarian cyst, or it could just be physiological free fluid. Did you have severe pelvic pain that seemed to get better with time? If so, a ruptured cyst is more likely. ...Read more

Dr. Eric Weisman
2 doctors shared insights

Ovarian Cyst (Definition)

A growth (often balloon like) on an ovary. It is often thin walled ...Read more