Patient's question:
Clinical Description: Transvaginal ultrasound shows: retroverted uterus, three diameters approximately 585445mm, clear margins, smooth surface, uniform echo of the myometrium, a gestational sac of about 86mm in size visible in the uterine cavity, regular shape, with a yolk sac and 2mm embryonic echo observed internally, no distinct primitive cardiac detected. Bilateral adnexa appear clear, left ovary is normal, right ovary shows two small fluid-filled areas, largest 2216mm, good trans transmission, CDFI shows no blood flow signals. A 10mm fluid-filled area is detected in the rectouterine pouch. Right ovarian cystic structure with in the Pouch of Douglas.History of Treatment and Effect: No treatment administered.
Doctor's answer:
Disease Analysis: Hello, the cystic structure on the right ovary cannot be ruled out as a corpus luteum cyst. The presence of a small amount of fluid in the rectouterine pouch during early pregnancy may also be physiological, as the amount is not greater than 10mm. It is recommended to undergo an ultrasound examination one week after a normal menstrual period following medical abortion to check if there is still a cystic structure and fluid.Suggestions: If there is still a cystic structure and fluid, it is likely caused by pelvic inflammatory disease. It is necessary to receive intravenous anti-inflammatory treatment. If you have a history of lower abdominal pain, lower back and sacral pain, or other symptoms of pelvic inflammatory disease, it is recommended to start intravenous anti-inflammatory treatment immediately after medical abortion.