Prolapsed endometrial polyp

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Vaginal bleeding.

Patient Data

Age: 40 years
Gender: Female
mri

Large pedunculated intracavitary mass arising from the anterior uterine wall, filling the uterine cavity and prolapsing into the vagina through a distended endocervical canal

The lesion displays intermediate signal intensity on T1WI, inhomogeneous high signal on T2WI surrounded by hyperintense fluid and thin rim enhancement after contrast injection.

Case Discussion

MRI features are most consistent of a prolapsed endometrial polyp.

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