Case 44: Polycystic Ovarian Disease with Nabothian Cysts

           

Clinical Features:

A 23 years old married female patient came with

- Irregular scanty menstruation

- Subfertility

- Obesity

- Hirsutism

Ultrasound Features:

- Bilateral enlarged ovaries.

- Multiple peripherally placed tiny follicles.

- No dominant follicle.

- Echogenic ovarian stroma.

- Multiple small well-defined round to oval anechoic cystic structures of variable size are seen within the cervical myometrium.

Remember:

- In case of bilateral enlarged ovaries with the absence of dominant follicle, consider PCOD first.

- If the patient is on treatment then the features may vary a little.

Ultrasound Images:

Fig: Long section of Uterus on TVS. Multiple small well-defined cervical nabothian cysts

Fig: Long section of Uterus on TVS. Multiple small well-defined cervical nabothian cysts

Fig: Enlarged right ovary with Pearl-string appearance & echogenic stroma

Fig: Enlarged right ovary with Pearl-string appearance & echogenic stroma

Fig: Enlarged right ovary with Pearl-string appearance & echogenic stroma

Fig: Enlarged right ovary with Pearl-string appearance & echogenic stroma

YouTube Video Link:

https://youtu.be/Ohr6qI_eQIc