Luteal cysts occurred more frequently in January to March 2015 (Figure 2), indicating a luteinization of the follicular cysts that occurred in the previous months.
The right adnexa appeared to have two corpus
luteal cysts. Of note, no free fluid was identified in the cul-de-sac and the patient was asymptomatic at that clinic visit.
Hemorrhagic corpus
luteal cysts commonly occur in women of childbearing age between days 20-26 of the menstrual cycle or during the first trimester of pregnancy, accounting for hospital admissions in 4% of women before age of 65.
These results were comparable to a Pakistani study,15 however a Saudi study negates it.16 The most common non-neoplastic mass was corpus
luteal cyst (n = 13, 21%) followed by follicular cyst (n = 10, 16.1%).
The commonest benign lesion diagnosed was hemorrhagic
luteal cyst in 50 (20.2%) followed by follicular cyst and serous cystadenoma in 49 (19.8%) each.
These findings are similar to study done by Tayyiba et al in Lahore in 2009 where follicular and
luteal cysts were 32% followed by serous cyst adenoma in 23% of cases'4.
Luteal cyst is the commonest non-neoplastic lesion.
The most common pregnancy associated adnexal masses were functional cysts like the corpus
luteal cyst and theca lutein cysts.
Ultrasonography techniques assist in diagnose and differential pregnancy from pathological conditions such as fetal mummification, maceration, mucometra, pyometra, follicular cyst,
luteal cyst, hydroallantois and hydroamnions according to their physio-pathology.
The commonest non-neoplastic lesion was
luteal cyst (38/85) followed by simple serous cyst (30/85).
Two buffaloes on repeated (15 days interval) per-rectum examination revealed presence of
luteal cyst on ovary.
Chart 2: Histopathological pattern of non-neoplastic ovarian masses Endometriotic cyst 23 Corpus
luteal cyst 21 Follicular cyst 4 Hemorrhagic cyst 14 Torsion 15 Infective 2 Note: Table made from pie chart.
