Presentation
Post-menopausal vaginal bleeding.
Patient Data
Age: 70
Gender: Female
From the case:
Leiomyolipoma
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Intramural lesion in the posterior body of the uterus, measuring 2.3 x 1.4 x 1.9cm.
It is well-circumscribed and predominantly echogenic, with patchy areas of muscle echogenicity (same as myometrium).
Mildly vascular.
Surrounding hypoechoic myometrium.
Mild endometrial hyperplasia (which was the cause of the post-menopausal bleeding).
Case Discussion
Leiomyolipomas are rare benign tumors of the uterus that contain smooth muscle, fat and connective tissue. They are often seen in post-menopausal females and are more echogenic than leiomyomata due to containing macroscopic fat. They are most often intramural and found in the body of the uterus.
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