Uterine fibroid with internal degeneration

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Known case of uterine mass. Acute pelvic pain for one week.

Patient Data

Age: 25 years
Gender: Female
This study is a stack
Sagittal
T2
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Info

A large peripherally solid enhancing mass lesion with central non-enhancing (T1 intermediate and T2 hyperintense signal) in the posterior wall of the uterus measuring about 10 x 10 x 11 cm.

The endometrial cavity is compressed inferiorly by the lesion without evidence of distention.

No surrounding aggressive features.

No extension beyond the uterine contour.

No enlarged pelvic lymph node. No significant pelvic ascites.

 

Case Discussion

The features are suggestive of uterine mural large fibroid with internal degeneration.

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