Patient's question:
Hello, I had an abortion on April 29th and a D&C on May 2nd. For the first few days, I had more bleeding than usual, similar to my period, and then it gradually decreased. However, on the 9th, I had more bleeding after masturbation. The next day, the hospital examination revealed a separation of the uterine cavity and a possible teratoma. Is it really that serious? Today, I have a little bit of bleeding again, and the doctor suggested I follow up for a checkup.Doctor's answer:
Ultrasound Description: The uterus is anteverted, with regular section morphology and normal size. The muscle layer shows uniform echoes, the endometrial line is centrally located, the thickness is normal, and no abnormal echoes are observed within the uterine cavity. In the left adnexa, a mixed mass measuring 555146 mm is visible, with internal echoes showing a lipid-fluid layer and clear boundaries. The right adnexal area shows no abnormalities.Ultrasound Findings: Left adnexal mixed echo mass, suggestive of a teratoma. The right adnexa and uterus show no significant abnormalities.
Color Doppler Transvaginal Ultrasound Results:
Ultrasound Findings: The uterus is anteverted, with a size of approximately 5.54.03.3 cm, normal morphology, uniform muscle layer echoes, a centrally located endometrial line, and an endometrial thickness of about 0.4 cm. No abnormal echoes are observed within the uterine cavity. The right ovary is of normal size and structure, with no apparent space-occupying lesions in the right adnexal area. A cystic mass measuring approximately 5.55.45.1 cm is observed posterior to the left side of the uterus, with clear boundaries and smooth walls. The mass contains dense echoes and a "liquid-liquid level" sign. CDFI: Perfusion signals are visible around the cystic mass, while no significant blood flow signals are observed within the mass.
No free fluid is observed in the pelvis.
Ultrasound Findings: Posterior to the left side of the uterus, a cystic mass is observed, suggestive of a benign ovarian tumor (teratoma?). A Nabothian cyst is also noted in the cervix.