Patient's question:
Clinical Description: Vaginal ultrasound shows: retroverted uterus, three diameters approximately 585445mm, clear margins, smooth surface, uniform echo of the myometrium, a gestational sac approximately 86mm in size visible in the uterine cavity, regular shape, with a yolk sac and 2mm embryonic echo observed internally, no obvious primitive cardiac pulsation detected. Bilateral adnexa appear clear, left ovary is normal, right ovary shows two small fluid, largest 2216mm, good through-transmission, no blood flow signals observed in CDFI. A 10mm fluid is detected in the rectouterine pouch. Right ovarian cystic structure in the Pouch of Douglas with a small amount of fluid accumulation. Medical history and treatment effectiveness: No treatment.Doctor's answer:
Medical 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 no more than 10mm. It is recommended to undergo an ultrasound examination one week after a normal menstrual period following medical abortion to check if the cystic structure and fluid still exist.Advice: If the cystic structure and fluid persist, it is likely caused by pelvic inflammatory disease. Intravenous anti-inflammatory treatment must be administered. If you have had lower abdominal pain, lower back and sacral pain, or other symptoms of pelvic inflammatory disease in the past, it is recommended to start intravenous anti-inflammatory treatment immediately after medical abortion.