EURORAD ESR

Case 12803

Uterine lipoma: an incidental finding in a patient with retrocaecal appendicitis

Author(s)
Vasileios Rafailidis1, Chrystala DImitriou2, Chrysa Nalbantidou2, Dimitrios Rafailidis2

1. Radiology Department of AHEPA General Hospital of Thessaloniki, Greece.
2. Radiology Department of “GENNIMATAS” General Hospital of Thessaloniki, Greece.
Email:billraf@hotmail.com
 
Patient
female, 69 year(s)
 
 
  • Figure 1
    Ultrasound findings
     

    Grey scale transabdominal ultrasound view of the pelvis showing a 2.5 cm hyperechoic focus within the uterine wall.

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

    Power Doppler imaging showing no blood flow signals within the lesion.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    CT findings of appendicitis
     

    Axial CT image showing the origin of the appendix in a retrocaecal position. The appendix shows a thickened wall and there is periappendiceal fat stranding.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial CT image showing a distended retrocaecal appendix with thickened wall. There is periappendiceal fat stranding and thickening of the lateroconal fascia.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial CT image showing periappendiceal fat stranding and thickening of the lateroconal fascia.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    CT findings of the uterine lesion
     

    Axial unenhanced CT image demonstrating the presence of a well-defined rounded mass situated inside the uterus. The mass shows homogeneous fat attenuation.

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

    The uterine mass shows fat attenuation (-64 HU).

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

    After the intravenous administration of contrast medium, the mass shows no enhancement.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal MultiPlanar Reconstruction (MPR) image locates the mass inside the uterus.

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

    Coronal MultiPlanar Reconstruction (MPR) image locates the mass inside the uterus.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Grey scale transabdominal ultrasound view of the pelvis showing a 2.5 cm hyperechoic focus within the uterine wall.
 
Power Doppler imaging showing no blood flow signals within the lesion.
 
Axial CT image showing the origin of the appendix in a retrocaecal position. The appendix shows a thickened wall and there is periappendiceal fat stranding.
 
Axial CT image showing a distended retrocaecal appendix with thickened wall. There is periappendiceal fat stranding and thickening of the lateroconal fascia.
 
Axial CT image showing periappendiceal fat stranding and thickening of the lateroconal fascia.
 
Axial unenhanced CT image demonstrating the presence of a well-defined rounded mass situated inside the uterus. The mass shows homogeneous fat attenuation.
 
The uterine mass shows fat attenuation (-64 HU).
 
After the intravenous administration of contrast medium, the mass shows no enhancement.
 
Sagittal MultiPlanar Reconstruction (MPR) image locates the mass inside the uterus.
 
Coronal MultiPlanar Reconstruction (MPR) image locates the mass inside the uterus.
 
 
 
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