Presentation
Menometrorrhagia. History of six previous cesarian sections.
Patient Data
Age: 45 years
Gender: Female
From the case:
Uterine leiomyoma prolapsing into vagina
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There is a well-defined pedunculated mass (5.6 x 5 x 4.5 cm) arising from the anterior uterine wall, and prolapsing into the vagina through a distended endocervical canal. It elicits an intermediate signal on T1, homogeneous low signal on T2 with no significant enhancement on postcontrast sequences.
Regular thickening of the endometrium (thickness = 16 mm) with no restricted diffusion.
Bilateral ovarian follicles, largest on the left (20 mm).
Case Discussion
MRI features of a pedunculated uterine leiomyoma prolapsing into the vagina.
Endometrial thickening which may need a biopsy for a definitive diagnosis.
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