EURORAD ESR

Case 10719

An unusual uterine mass after caesarean delivery

Author(s)
Di Girolamo Marco, Piccotti Katia, Fierro Stefano, Casazza Ines, Persechino Raffaello, Linda Stefanetti

Sant'Andrea Hospital,
Department Of Radiology;
Via Alberto Caroncini 51
197 Rome, Italy;
Email:digirolamomarco@hotmail.com
 
Patient
female, 28 year(s)
 
 
  • Figure 1
    Ultrasound

    US axial imaging showing a 4 cm hypoechoic fluid collection adjacent to the anterior wall of the uterine body.

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

    MRI confirmed on a TSE T2-weighted sagittal scan the presence of a well-defined fluid-filled mass with a smooth peripheral wall originating from the anterior wall of the uterine body (a).

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

    This fluid collection was hyperintense both on TSE T1-weighted (b) and T2-weighted (c) imaging performed on the same axial plane due to its methaemoglobin content.

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

    This fluid collection was hyperintense both on TSE T1-weighted (b) and T2-weighted (c) imaging performed on the same axial plane due to its methaemoglobin content.

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

    The described pelvic mass was characterised by restricted water diffusion on DWI images and ADC maps due to corpuscular content (d).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 3
    MR

    A subsequent MRI performed two months later axial TSE T2-weighted imaging showed a reduction of the uterine mass (3vs4cm) and some little hypointense spots within the fluid collection due to haemosiderin content.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
US axial imaging showing a 4 cm hypoechoic fluid collection adjacent to the anterior wall of the uterine body.
 
MRI confirmed on a TSE T2-weighted sagittal scan the presence of a well-defined fluid-filled mass with a smooth peripheral wall originating from the anterior wall of the uterine body (a).
 
This fluid collection was hyperintense both on TSE T1-weighted (b) and T2-weighted (c) imaging performed on the same axial plane due to its methaemoglobin content.
 
This fluid collection was hyperintense both on TSE T1-weighted (b) and T2-weighted (c) imaging performed on the same axial plane due to its methaemoglobin content.
 
The described pelvic mass was characterised by restricted water diffusion on DWI images and ADC maps due to corpuscular content (d).
 
A subsequent MRI performed two months later axial TSE T2-weighted imaging showed a reduction of the uterine mass (3vs4cm) and some little hypointense spots within the fluid collection due to haemosiderin content.
 
 
 
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