• Adnexa = Region lateral to the uterus (Ovary + tubes + maybe broad ligament)
• Pre-menopausal DDx
  • !Ruptured Ovarian cyst
  • Endometriosis → Endometrioma
• Post-menopausal DDx
  • Persistent cyst from pre-menopausal
  • ovarian abscess
  • ovarian cancer
  • fibroid of broad ligament

Clinical Approach

Algorithm (Diagram)