Submucosal uterine leiomyoma

Case contributed by Dr Ammar Haouimi

Presentation

Abnormal vaginal bleeding

Patient Data

Age: 40 years
Gender: Female
MRI

There is a well-defined submucosal mass arising from the left posterolateral aspect of the uterine fundus, and distorting the endometrial cavity. It shows an intermediate signal intensity on T1WI, low signal intensity on T2WI with areas of cystic degeneration, and has a broad interface with the adjacent endometrium. The postcontrast sequences show a moderate, and heterogeneous enhancement. Note mild bleeding within the uterine cavity of low signal on T2WI.

Both ovaries show normal appearance with small follicles.

Case Discussion

MRI features of a submucosal uterine leiomyoma. The differential diagnosis should include endometrial polyps.

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Case information

rID: 68258
Published: 21st May 2019
Last edited: 12th Jun 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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