Prolapsed endometrial polyp

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Menometrorrhagea.

Patient Data

Age: 35 years
Gender: Female
mri

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

The postcontrast sequences show a heterogeneous enhancement.

Few intramural myomas with maximum diameters up to 10 mm are seen (Figo IV).

Intramural submucosal myoma measuring about 20 mm along with uterus left anterolateral body (Figo II).

No pelvic lymphadenopathy is seen.

Case Discussion

MRI features are most consistent with a prolapsed endometrial polyp.

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