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Pelvis » Female Pelvis (Gynecology)
Prolapsing uterine leiomyoma
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Author(s) :
Paulo Pires, MD
 
Presentation A 40-year-old woman was admitted with complaints of lower abdominal pain and increased uterine bleeding. Physical findings included a soft nontender abdomen and a mildly tender pelvic mass.
 
 
 
Caption: Transabdominal sagittal ultrasound
Description: The uterus appears enlarged and shows the presence of a large hypoechoic mass in the region of the lower uterine body and uterine cervix.
 
 
 
Caption: Transabdominal transverse ultrasound at the level of uterine cervix
Description: A large hypoechoic mass is seen in the region of the lower uterine body and uterine cervix.
 
 
 
Caption: Transvaginal sagittal ultrasound
Description: This image depicts the intracavitatory mass completely occupying the region of the lower uterine body and uterine cervix.
 
 
 
Caption: Transvaginal sagittal ultrasound
Description: This image depicts the intracavitatory mass completely occupying the region of the lower uterine body and uterine cervix.
 
 
 
Caption: Transvaginal transverse ultrasound at the level of the cervix
Description: This image exhibits the internal characteristics of the mass well.
 
 
 
Caption: Transvaginal color Doppler image
Description: The hypoechoic mass shows minimal vascularity.
 
 
 
Caption: Spectral waveform analysis
Description: An arterial waveform depicting low flow [resistive index of 0.62] is recorded.
 
Differential Diagnosis Prolapsing uterine leiomyoma, cervical mass
 
Final Diagnosis Prolapsing uterine leiomyoma
 
Follow Up This woman was operated and pathologic examination confirmed a totally infarcted pedunculated intracavitatory leiomyoma. 
 
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