Multiple uterine leiomyomas

Case contributed by Dr Ammar Haouimi

Presentation

Primary infertility.

Patient Data

Age: 35 years
Gender: Female
MRI

The uterus is diffusely enlarged with multiple intramural, and subserosal leiomyomas of various size. The largest leiomyomas are subserosal pedunculated of right corporeal (8.5x6.5x5 cm), and fundal left lateral (13.5x9.5x8 cm) location. They show a low to intermediate signal intensity on T1WI, low signal intensity on T2WI with central areas of high signal within the left largest leiomyoma (cystic degeneration). The postcontrast sequences demonstrate moderate and heterogeneous enhancement.

A mild free intraperitoneal effusion is noted.

Both ovaries appear normal with small follicles

Case Discussion

Multiple uterine leiomyomas with large pedunculated subserosal leiomyomas

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Case information

rID: 70950
Published: 14th Sep 2019
Last edited: 14th Sep 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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