Large uterine fibroids

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Pelvic discomfort.

Patient Data

Age: Adult
Gender: Female
ct

Multiple hypoenhancing intramural masses fill the uterus, with the largest in the anterior fundus/body posteriorly displacing and distorting the endometrial stripe. 

Small right ovarian teratoma. 

Benign liver hemangiomas and cysts. 

Case Discussion

Typical appearance of fibroid uterus on CT. The large anterior fibroid could be mistaken for a malignant mass, and is likely undergoing some degree of degeneration (hyaline is most common). 

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