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Last updated: September 14, 2025View editorial policy

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Differential Diagnosis for Ovaries with Trace Free Fluid

  • Single most likely diagnosis
    • Ovarian cyst rupture or torsion: This is a common cause of trace free fluid in the ovaries, often resulting from a ruptured cyst or ovarian torsion, which can lead to fluid accumulation.
  • Other Likely diagnoses
    • Pelvic inflammatory disease (PID): PID can cause inflammation of the ovaries, leading to the accumulation of free fluid.
    • Endometriosis: Endometriosis can cause inflammation and scarring in the ovaries, resulting in free fluid.
    • Ovarian hyperstimulation syndrome (OHSS): OHSS is a complication of fertility treatment that can cause fluid accumulation in the ovaries.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Ectopic pregnancy: Although less common, an ectopic pregnancy can cause free fluid in the ovaries due to rupture or bleeding.
    • Ovarian cancer: Ovarian cancer can cause fluid accumulation in the ovaries, and early detection is crucial for treatment.
  • Rare diagnoses
    • Gonadal dysgenesis: A rare condition where the ovaries do not develop properly, potentially leading to fluid accumulation.
    • Ovarian lymphoma: A rare type of cancer that can cause fluid accumulation in the ovaries.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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