Presentation
Vaginal bleeding.
Patient Data
Age: 40 years
Gender: Female
From the case:
Uterine leiomyomas
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The MRI sequences (with vaginal opacification) demonstrates:
- enlarged uterus with two large intramural leiomyomas, measuring 10 x 8.4 x 7.7 cm on the right (Figo 4) and 9.4 x 8.4 x 7.4 cm with endometrial contact (Figo 3).
- numerous small intramural leiomyomas are also noted.
- blood-filled distended uterine cavity and upper vagina.
both ovaries are displaced laterally, containing small follicles with a unilocular cyst on the left (38 mm).
Case Discussion
MRI features of two large intramural leiomyomas (Figo 3 and 4) with blood-filled distended uterine cavity and upper vagina.
Case contributed by: Salah Zine, MD, Ibn Hayane Clinic, El-Oued, Algeria
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