Uterine leiomyoma

Case contributed by Dr Bruno Di Muzio

Presentation

Pelvic mass palpable on physical examination.

Patient Data

Age: 62
Gender: Female
CT

CT Abdomen and pelvis

Scout image shows popcorn calcifications within the pelvis.

Coronal reformatting shows large uterine mass with lobulated margins and multiple coarse calcifications.

The patient also has a large known hepatic hemangioma (not adequately show in this sequence) and partial right ureteral duplication.

Case Discussion

On CT images, fibroids are usually of soft tissue density but may exhibit coarse peripheral or central calcification, as in this case. Enhancement pattern is variable. 

The patient underwent a hysterectomy and the diagnosis was further confirmed on pathological examination.

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Case information

rID: 14013
Published: 15th Jun 2011
Last edited: 30th Mar 2018
System: Gynaecology
Inclusion in quiz mode: Included

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