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Transfundal puncture of a large ovarian cyst with hysteroscopic and ultrasonographic guidance

Authors Zolnierczyk P, Cendrowski K, Sawicki W

Received 6 February 2015

Accepted for publication 14 March 2015

Published 11 May 2015 Volume 2015:7 Pages 527—529

DOI https://doi.org/10.2147/IJWH.S82339

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Elie Al-Chaer


Piotr Zolnierczyk, Krzysztof Cendrowski, Wlodzimierz Sawicki

Department of Obstetrics, Gynecology and Oncology, 2nd Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland

Abstract: This paper describes the case of an 83-year-old patient with hypertension, diabetes, obesity (body mass index – 38), congestive heart failure, and history of cardiac surgery, who was referred for a diagnostic–therapeutic decompression of a large, symptomatic ovarian cyst. Due to anatomical conditions, the only safe way was a transfundal puncture under mini-hysteroscopic and ultrasound guidance. A puncture with aspiration of 300 mL of serous fluid from the cyst was performed without technical problems and complications. Cytology showed no cancer cells in the examined liquid. Relief from pain and compression discomfort was achieved in the patient. This case shows the possibility of combining ultrasound and minimally invasive diagnostic methods like hysteroscopy in selected clinical situations.

Keywords: ovarian cyst puncture, hysteroscopy, ultrasound guided puncture, transfundal cyst puncture, vaginoscopy
 

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