Endometriosis is commonly associated with:
“The ovary is the most common site and involved in 30–40% of cases. The lesion is nearly always bilateral. It sometimes appears as multiple burnt match head spots on the surface of the ovary and sometimes as the typical tarry cysts in a disorganised organ surrounded by dense adhesisions.”
Chocolate cysts of ovary:
• They are true cysts
• The cysts enlarge with cyclic bleeding. The serum gets absorbed in between periods and the content inside becomes chocolate, tarry brown in color.
• Histology
– Lining epithelium is columnar epithelium.
– Beneath the epithelium are large macrophages called as pseudoxanthoma cells which have brown cytoplasm due to ingested blood pigments like hemosiderin.
• Treatment of chocolate cyst/endometrioma.
Laparoscopic management is the preferred management
Before concluding lets rule out other options.
• Adenomyosis is associated with endometriosis but vice versa is not true; similarly fibroid uterus is associated with endometriosis but vice versa is not true (Ruling out options “b” and “c”).
• Multiple luteal cysts in the ovary are seen in case of
– Pregnancy
– Multiple pregnancy
– HCG therapy
– Hydatidiform Mole
– Choriocarcinoma
Thus option “d” is incorrect.
There is no association between endometritis and endometriosis i.e. option “e” is incorrect.
B/L chocolate cyst of ovary
Adenomyosis
Fibroid
Luteal cyst