The absence of echogenicity in the right adnexa indicates a possible adnexal cyst, mainly through ultrasound, tumor marker testing, and physical examination.
Adnexal cysts are fluid-filled sac-like structures that form in a woman’s fallopian tubes or ovaries. Most adnexal cysts have no obvious self-conscious symptoms, and a few adnexal cysts have sudden symptoms such as severe abdominal pain due to torsion, rupture or infection. Because of the relatively low density inside, an ultrasound can reveal the absence of echogenicity.
Ultrasound can help the doctor locate the cyst and measure its size and the nature of its contents.
A commonly used tumor marker test is CA125, and elevated levels of CA125 can occur if the material inside the ovarian cyst is solid in nature. However, elevated CA125 can also be a result of non-cancerous conditions such as endometriosis and pelvic inflammatory disease.
Physical examination focuses on palpation of the pelvic mass, and pelvic pressure and/or rebound pain if there is a combination of infection or rupture and torsion of the cyst.
It is recommended that patients with anechoic right adnexa should follow the doctor’s instructions to improve further examination, clarify the cause of the disease and then follow the doctor’s instructions for treatment.