Presentation
Pelvic pain
Patient Data
Age: 45 years
Gender: Female
From the case:
Uterine leiomyoma
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There is an anterolateral intramural mass measuring 58 x 87 mm at the fundus.
Case Discussion
Intramural leiomyomas, which are the most common, are usually asymptomatic. However, they can occasionally be associated with menorrhagia and infertility. Infertility can occur secondarily to extrinsic compression of the Fallopian tube. Menstrual irregularities are hypothesized to be secondary to loss of symmetric uterine contractions.