EURORAD ESR

Case 10194

Enormous uterine fibroid

Author(s)
Elton Cekaj

Regional Hospital of Durres, Albania
 
Patient
female, 38 year(s)
 
 
  • Figure 1
    US finding

    In abdominal US was found a huge solid mass, which was difficult to be measured and to localize its origin.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    abdominal mass
     

    note the solid abdominal mass that its latero-lateral diameter is 23 cm and its tiny calcifications within it.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    the mass has the origin from the pelvis

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    the mass reaches the upper part of abdomen (note the gallblader and the upper poles of both kidneys)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    axial CT in arterial phase
     

    Note the typical blood supply of peripheral new vessels

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    its anteroposterio and superoinferior diameters are respectively 15 and 28 cm

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Volume rendering, MIP and MPR
     

    note the vessels that supply the uterus and its mass in the same time

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    note the endometrium and the mass in closed relation with it

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Note in multiplanar reconstruction that the origin of the mass is from the anterior uterine wall

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    in MIP you can see one of the vessels of the mass (long arrow and green cross) and its relation to endometrium (short arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Here you can see the serpengionous feeding vessles of the mass (green cross and the arrow)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
In abdominal US was found a huge solid mass, which was difficult to be measured and to localize its origin.
 
note the solid abdominal mass that its latero-lateral diameter is 23 cm and its tiny calcifications within it.
 
the mass has the origin from the pelvis
 
the mass reaches the upper part of abdomen (note the gallblader and the upper poles of both kidneys)
 
Note the typical blood supply of peripheral new vessels
 
its anteroposterio and superoinferior diameters are respectively 15 and 28 cm
 
note the vessels that supply the uterus and its mass in the same time
 
note the endometrium and the mass in closed relation with it
 
Note in multiplanar reconstruction that the origin of the mass is from the anterior uterine wall
 
in MIP you can see one of the vessels of the mass (long arrow and green cross) and its relation to endometrium (short arrow).
 
Here you can see the serpengionous feeding vessles of the mass (green cross and the arrow)
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version