HEMORRHAGIC OVARIAN CYSTS IN PATIENTS ON ANTICOAGULATION THERAPY - CTFINDINGS

Objective: Hemorrhage into ovarian cysts is a frequent and potentially life-threatening complication in women on chronic anticoagulation the rapy. This article presents the CT findings of three surgically confir med cases of symptomatic hemorrhagic ovarian cysts associated with ant icoagulation therapy. Materials and Methods: There were two cases of u nruptured hemorrhagic ovarian cysts: a patient with two corpus luteum cysts of menstruation and a patient with a serous cystadenoma. Results : Each mass had a rounded central region of high attenuation (76, 62, and 50 HU) representing blood that was surrounded by fluid density. Th e third case was a hemorrhagic corpus luteum cyst of menstruation with rupture and hemoperitoneum. Conclusion: Hemorrhagic ovarian cysts sho uld be included in the differential diagnosis of high-attenuation adne xal masses, especially in patients on anticoagulation therapy and in t hose with abrupt onset of pelvic pain.