Prolapsed endometrial polyp

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Metrorrhagia

Patient Data

Age: 50 years
Gender: Female
mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T2
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Info

There is a large pedunculated intracavitary mass arising from the posterior uterine wall, filling the uterine cavity and prolapsing into the vagina through a distended endocervical canal. It is of intermediate signal intensity on T1WI, inhomogeneous high signal on T2WI surrounded by hyperintense fluid and endometrium with intense, and heterogeneous enhancement following IV contrast. 

Case Discussion

MRI features are most consistent of a prolapsed endometrial polyp.

Additional contributor: Assia Kendri, radiographer, CIM Aurès, Batna Algeria

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