Submucosal leiomyoma in the exam

Last revised by Owen Kang on 8 Jul 2017

Citation, DOI, disclosures and article data

Citation:

Holland M, Kang O, Stanislavsky A, Submucosal leiomyoma in the exam. Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-22806

DOI:

https://doi.org/10.53347/rID-22806

Permalink:

https://radiopaedia.org/articles/22806

rID:

22806

Article created:

25 Apr 2013, Mark Holland

Disclosures:

At the time the article was created Mark Holland had no recorded disclosures.

View Mark Holland's current disclosures

Last revised:

8 Jul 2017, Owen Kang

Disclosures:

At the time the article was last revised Owen Kang had no recorded disclosures.

View Owen Kang's current disclosures

Revisions:

4 times, by 3 contributors - see full revision history and disclosures

Systems:

Gynaecology

Sections:

Approach

Tags:

fibroid in the exam, radiology fellowship examination

Getting a film with submucosal fibroid in the exam is one of the many exam set-pieces that can be prepared for.

Description

Transabdominal and transvaginal pelvic ultrasound scans show an anteverted uterus with endometrium that is 7 mm wide and has a trilaminar appearance indicative of the periovulatory part of her cycle. There are multiple, well defined, nonvascular, heterogeneously hypoechogenic, intramural myometrial masses. These have a typical appearance for fibroids. The largest fibroid in the posterior uterine body is predominantly submucosal and causes endometrial distortion. This could optimally be assessed with 3D ultrasound and sonohysterography and is likely to be the cause of this lady’s subfertility.