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AJR 2001; 177:1313-1318
© American Roentgen Ray Society

Original Report

Perineural Cysts Presenting as Complex Adnexal Cystic Masses on Transvaginal Sonography

Mark J. McClure1,2, Mostafa Atri1, Masoom A. Haider3 and John Murphy1

1 Department of Medical Imaging, Sunnybrook & Women's Health Science Centre, 2075 Bayview Ave., Ontario, M4N 3M5 Canada.
2 Present address: Department of Radiology, Craigavon Area Hospital, 68 Lurgan Rd., Portadown Craigavon, BT63 5QQ Northern Ireland.
3 Department of Medical Imaging, Mount Sinai Hospital and University Health Network, 600 University Ave., Toronto, Ontario, M5G 1X5 Canada.

OBJECTIVE. This study describes the sonographic features of sacral perineural cysts that initially presented as adnexal complex cystic masses on transvaginal sonography.

CONCLUSION. Perineural cysts may have a complex cystic appearance, including septation and internal debris, on transvaginal sonography. The extraovarian, extraperitoneal, and posterior location on real-time sonography are suggestive features.


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