Presentation
Acute onset pelvic pain.
Patient Data
Uterus: 11.6 x 7.3 cm. Normal echogenicity. Right uterine fibroid measuring 2.9 x 3.5 x 3.5 cm.
Endometrium: 0.4 cm.
Cervix: complex cystic and solid-appearing heterogeneous lesion at the cervix measuring 2.8 x 2.3 x 2.6 cm.
Left ovary: 9.0 ml, within normal limits.
Right ovary: 16.4 ml, dominant follicle measuring 2.0 x 2.0 x 2.2 cm.
Adnexa: no adnexal masses are appreciated.
Free fluid: none.
IMPRESSION:
complex cystic and solid heterogeneous lesion at the cervix/endocervical canal
fibroid uterus
Case Discussion
This represents a case of uterine leiomyoma. The patient is a 50-year-old female with no significant medical history who presented to the emergency department with severe pelvic pain. A pregnancy test performed was negative, and a pelvic ultrasound revealed a fibroid uterus. She was treated and discharged with NSAIDs. Surgery was recommended as a last resort if her fibroid exceeded 6cm.
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