Submucosal leiomyoma prolapsing into the endocervical canal

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Menometrorrhagia.

Patient Data

Age: 45 years
Gender: Female

Well-defined submucosal mass arising from the right posterolateral wall of the lower uterine segment and prolapsing into a distended endocervical canal. It appears isointense to the normal myometrium on T1, and inhomogeneous hypointense on T2 with moderate heterogeneous enhancement on postcontrast sequences.

Normal appearances of both ovaries containing small follicles.

Case Discussion

MRI features of a large submucosal leiomyoma prolapsing into a distended endocervical canal.

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