Endometrioma
Paciente femenina de 31 años de edad Gesta Partos 2 , ultima menstruación hace 15 días, con dolor en FID que comenzó como una " penita" (sic) que ha ido aumentado en intensidad y lo nota durante la palpación ligera de la zona a pesar de estar bajo analgesia, se irradia a muslo homolateral y hacia la fosa ilíaca izquierda. Al examen eco-sonografico vía transvaginal, Útero en anteversion , con homogeneidad y ecogenicidad normales, mide aprox: 8,5 x 5,5 x 4,7 cms. Endometrio fino y fondo de saco posterior normal, sin colección liquida. El ovario derecho muestra imagen ecogena, de tipo mixto, con refuerzo ecogenico posterior ( lo que demuestra su contenido en liquido, a pesar de no ser visualizado directamente ), mide aprox: 4,9 x 4,9 x 4,3 cms, en su cercanía se aprecia colección liquida con refuerzo ecogenico posterior. El ovario izquierdo luce sonograficamente normal, sin lesiones patológicas sonograficamente detectables, mide aprox: 3,8 x 1,7 cms. Se hace el diagnostico presuntivo de Endometrioma ovárico derecho.
Ovarian Endometrioma
A female patient aged 31 Gesta 2 Part 2, last menstrual period for 15 days, with pain in for a right lower quadrant began as a "penita" ( sic ) which has been increasing in intensity and light notes during palpation of the area despite being under analgesia, radiates to the ipsilateral thigh and into the left lower quadrant.
Eco-examination transvaginal sonography, an anteverted uterus with normal echogenicity, homogeneity, measures approx: 8.5 x 5.5 x 4.7 cms. Endometrium thin and normal posterior fornix without fluid collection. The image shows echogenic right ovary, mixed type with echogenic posterior reinforcement (which shows the liquid content, despite not being displayed directly), measures approx: 4.9 x 4.9 x 4.3 cm in proximity is seen echogenic fluid collection reinforced later.
The left ovary looks normal sonographically without sonographically detectable pathologic lesions, measures approx: 3.8 x 1.7 cms.
It is the presumptive diagnosis of right ovarian endometrioma.
Eco-examination transvaginal sonography, an anteverted uterus with normal echogenicity, homogeneity, measures approx: 8.5 x 5.5 x 4.7 cms. Endometrium thin and normal posterior fornix without fluid collection. The image shows echogenic right ovary, mixed type with echogenic posterior reinforcement (which shows the liquid content, despite not being displayed directly), measures approx: 4.9 x 4.9 x 4.3 cm in proximity is seen echogenic fluid collection reinforced later.
The left ovary looks normal sonographically without sonographically detectable pathologic lesions, measures approx: 3.8 x 1.7 cms.
It is the presumptive diagnosis of right ovarian endometrioma.
