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Ultrasonographic view of the cyst adherent to the uterine fundus.. Note: Myometrial calcifications are visible (small arrows).
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In the ultrasound imaging, a cyst with a diameter of 95 mm with homogeneous, serous, anechoic fluid inside was visible (Figure 1).
Ultrasonographic guidance of the puncture.
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A long 16 gauge puncture needle was introduced into the cyst through the Bettocchi's hysteroscope 5 Fr working channel under continuous transabdominal ultrasound guidance (Figure 2).
Ultrasound scan after withdrawal of the needle.. Note: Small amount of the liquid in the uterine cavity after hysteroscopy (arrow).
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A transvaginal sonographic control just after the surgery showed complete emptying of the cyst, no evidence of free fluid in the abdominal cavity, and no evidence of bleeding into the peritoneal cavity from the ovary or the uterine wall (Figure 3).