Clinical Features:
A 24 years old female patient came with dysmenorrhea, predominantly pain in the left lower abdomen.
Ultrasound Features:
- A well-defined, round to oval, hypoechoic homogeneous mass with fine low-level internal echoes is noted attached to the left ovary.
- Color Doppler shows no internal vascularity.
- Thickened endometrium.
- Tiny cervical nabothian cyst.
Remember:
In case of transabdominal scan, decrease the gain to make the bladder anechoic. The adjacent simple cyst will become anechoic too but the endometrioma won’t.
Ultrasound Images:
Fig: TVS; Left ovarian endometrioma
Fig: TVS; Left ovarian endometrioma
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