Pedunculated submucosal leiomyoma prolapsing into vagina

Case contributed by Ammar Haouimi
Diagnosis almost certain


Pelvic discomfort.

Patient Data

Age: 60 years
Gender: Female

Well-defined pedunculated submucosal mass arising from the anterior uterine wall, and prolapsing into the vagina. It elicits an intermediate signal on T1 and a homogeneous low signal on T2.

Case Discussion

MRI features most consistent with pedunculated submucosal uterine leiomyoma prolapsing into the vagina.

MRI is the most reliable imaging technique for detection of the uterine leiomyomas, and rule out in such case a prolapsed endometrial polyp or neoplasm of the cervix extending to the upper vagina

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