Red degeneration of uterine fibroids in pregnancy

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Primiparous woman in her 26th gestational week with known large uterine leiomyomas complained of a dull pain in the left lower quadrant. Ultrasound showed intramural fluid collections in the uterine wall.

Patient Data

Age: 40 years
Gender: Female
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T2
This study is a stack
Coronal
T1
This study is a stack
Axial
T2
This study is a stack
Axial
T1
Download
Info

Two large hypointense intramural leiomyomas left to the amnion cavity. The more caudally located lesion is surrounded by a large rim of hemorrhage appearing bright on T1- and T2-weighted images. It contains a more recent bleeding component with T2-dephasing. No relation with the placenta. No extrauterine or intraperitoneal fluid collections.

Case Discussion

Fibroid in pregnancy is a relatively common complication, which aggravates pertaining to increase in size or red degeneration during pregnancy.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.