Diffuse uterine leiomyomatosis

Case contributed by Naqibullah Foladi
Diagnosis almost certain

Presentation

Pelvic pain.

Patient Data

Age: 40 years
Gender: Female

Bulky uterus with innumerable subserosal, intramural, submucosal T1 and T2 low signal intensity lesions with ill defined margins across the entire uterus. 

Intrauterine device within the endometrial canal is appreciated.

Case Discussion

Features are compatible with diffuse uterine leiomyomas. In such cases, the uterus is not capable of conception as well as hormonal therapy is not helpful, thus hysterectomy may be required.

 

Additional contributor: Dr. M. Tahir Aien

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