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Can a transvaginal ultrasound see something a CT Scan can’t?

Posted , 2 users are following.

mmblarg
mmblarg

My doctors have been monitoring a complex cyst on my left ovary for the last 6 months that was scheduled for another ultrasound in September, at which point, if it continued to mutate or didn’t decrease in size by then we were going to surgically remove it. Monday night I ended up having a 10 hour episode of intense pain and cramping - multiple doctor visists and testing all tuesday, including a CT scan with IV contrast and Burrium constrast came up with I no longer had the cyst. The final decision was that it had ruptured and technically resolved itself.

Fast forward to today - I was sent home early from work because of debilitating stabbing pain right where I imaging my left ovary is. By my understanding, if there is no cyst, there shouldn’t be pain... so my question is: is it possible the CT scan missed what a transvaginal ultrasound has been picking up for the last 6 months? 

I have a follow up with my gyno tomorrow and wonder if it would be silly to push for another ultrasound to be absolutely sure the cyst actually ruptured or if I still need surgery 

0 likes, 2 replies

2 Replies

  • victoria15250
    victoria15250 mmblarg

    Posted

    From my understanding a ct scan is more advanced but the transvaginal ultrasound is used specifically for cysts. I would want another ultrasound though because it found the cyst to begin with. Complex cyst can be a little difforent from simple cyst depending on what king it is. I had a hemorrhagic cyst which are blood filled and those are complex cyst the can reoccurring but those almost always resilve on their own which is quite painful
    • mmblarg
      mmblarg victoria15250

      Posted

      Thank you for the reply! So looks like I’ll be getting another ultrasound tomorrow. The radiologist for the CT scan measured my ovary as twice the size of a normal ovary but marked it as normal. I’ve had this small cyst for 5 years now and every year it bearly changes size, but it mutates and continues to become more “abnormal” causing my doctors to test me for cancer 4 times in the last 6 months. The doctor who is retesting thinks it’s still there and needs to be surgically removed
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