Case contributed by Domenico Nicoletti
Diagnosis almost certain


Patient arrives in the emergency room with pain in the left iliac region with increased white blood cells and C-reactive protein.

Patient Data

Age: 65 years
Gender: Female

CT without contrast shows sigmoid diverticulitis.

There is also a well-marginated low attenuation intramural lesion in the uterus, compatible with a lipoleiomyoma.


Magnetic resonance imaging with gadolinium shows fat saturation in the region and confirms fat within the uterine lesion.

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