Rare Hemorrhagic Complex Cyst Containing Necrotic Ovary and Part of Fallopian Tube: Case Report

kataneh kazemi, Mohsen Rakhsha, fateme poorkhayyat, mahboubeh ghorbani
2025 · W7084248970
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This 2025 case report describes a 22-year-old woman with primary infertility for 2 years who had intermittent abdominal pain for about a year, and ultrasound showed a large cystic mass in the right adnexa with an irregular wall and papillary protrusion; tumor markers were normal. The paper reports that, given severe abdominal pain and a stable cyst, surgery was performed, and the lesion was characterized as a rare hemorrhagic complex cyst containing a necrotic ovary and part of the fallopian tube. The explicit caveat is that the report frames hemorrhagic cyst rupture and hemorrhagic ovarian cysts as part of the differential diagnosis, but it is limited by being a single case. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Introduction: Ovarian cysts are fluid-filled sacs that lie on the surface of or within the ovary. Ovarian cysts can also be hemorrhagic. Hemorrhagic ovarian cyst rupture can release blood and fluid into the pelvis, presenting several risks to the patient. Case Presentation: A 22-year-old female patient with a history of primary infertility for 2 years presented with a complaint of abdominal pain that started a year ago, and on ultrasound, a cystic mass with dimensions of 113 x 50 x 80 and an irregular wall. There was a papillary protrusion in the right adnexa, and the tumor markers were normal, so due to the severe abdominal pain and stable cyst, he was scheduled for surgery. Conclusion: In women of reproductive age who report a history of primary infertility and present with complaints of intermittent and periodic pain, one of the differential diagnoses may be suspicion of a hemorrhagic cyst.
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Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām (May 2025) Rare Hemorrhagic Complex Cyst Containing Necrotic Ovary and Part of Fallopian Tube: Case Report Abstract Introduction: Ovarian cysts are fluid-filled sacs that lie on the surface of or within the ovary. Ovarian cysts can also be hemorrhagic. Hemorrhagic ovarian cyst rupture can release blood and fluid into the pelvis, presenting several risks to the patient. Case Presentation: A 22-year-old female patient with a history of primary infertility for 2 years presented with a complaint of abdominal pain that started a year ago, and on ultrasound, a cystic mass with dimensions of 113 x 50 x 80 and an irregular wall. There was a papillary protrusion in the right adnexa, and the tumor markers were normal, so due to the severe abdominal pain and stable cyst, he was scheduled for surgery. Conclusion: In women of reproductive age who report a history of primary infertility and present with complaints of intermittent and periodic pain, one of the differential diagnoses may be suspicion of a hemorrhagic cyst.

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