[Management provided for a pelvic unilocular fluid image discovered in in a post-menopausal female]

After defining the procedures and limitations of ultrasound-guided puncture in woman of a sexually active age, the author considers the situation of menopausal women who, despite the commonly held opinion, can develop functional cysts. It is true, on the other hand, that they are exposed to a greater risk of cancer. However, in these women, cancer usually takes the form of peritoneal carcinosis and not that of a "cancerous cyst". In the post-menopausal woman, there is no need to envisage a modification of the response in a situation involving an ovarian cyst, particularly since the discriminating power of paraclinical tests is the same, if not greater (ultrasound, serum 125Ca assay), but particular vigilance is necessary in interpreting the symptoms and in managing follow-up if ultrasound guided puncture is the only procedure performed. If it is decided to operate, bilateral appendicectomy must be performed (together with verification of the uterine cavity).