EURORAD ESR

Case 14535

A case of recurrent aggressive angiomyxoma

Author(s)
Deshpande Amit A1, Lakhani Nisha2, Shah Dipali3

(1) Resident Doctor
(2) Assistant Professor
(3) Associate Professor

Civil Hospital,
B.J. Medical College;
Asarwa 380016
Ahmedabad, India;
Email:amitd_19@yahoo.co.in
 
Patient
female, 35 year(s)
 
 
  • Figure 1
    USG

    USG shows the hypoechoic mass lesion with dilated ureter coursing through the lesion and displacement of bladder with foley's bulb and rectum without signs of invasion.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    CECT Coronal plane
     

    Coronal scan shows the superior and inferior extent of the mass. It displaces the bowel loops laterally without signs of invasion.

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

    Coronal scan shows the mass.

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

    Coronal section shows inferior extent of the lesion with displacement of rectum and perineal muscles without signs of invasion.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    CECT Abdomen sagittal plane

    Sagittal section shows the relation of the mass with the vertebral column. It shows extension up to the ischiorectal fossa and vaginal vault. No e/o erosion of vertebral column or sacrum.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Axial CECT
     

    Axial CT at the level of the perineum shows the mass lesion extending up to the labia majora.

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

    Axial CT at the level of the bladder shows the mass lesion displacing the rectum and bladder with preserved fat planes. The ureter appears to course through the mass without evidence of invasion.

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

    Axial CT at the level of the perineum shows displacement of perineal muscles due to the mass without definite evidence of invasion.

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

    Axial section just below the level of the aorta bifurcation showing displacement of bowel loops and compression of bilateral common iliac arteries without signs of invasion.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
USG shows the hypoechoic mass lesion with dilated ureter coursing through the lesion and displacement of bladder with foley's bulb and rectum without signs of invasion.
 
Coronal scan shows the superior and inferior extent of the mass. It displaces the bowel loops laterally without signs of invasion.
 
Coronal scan shows the mass.
 
Coronal section shows inferior extent of the lesion with displacement of rectum and perineal muscles without signs of invasion.
 
Sagittal section shows the relation of the mass with the vertebral column. It shows extension up to the ischiorectal fossa and vaginal vault. No e/o erosion of vertebral column or sacrum.
 
Axial CT at the level of the perineum shows the mass lesion extending up to the labia majora.
 
Axial CT at the level of the bladder shows the mass lesion displacing the rectum and bladder with preserved fat planes. The ureter appears to course through the mass without evidence of invasion.
 
Axial CT at the level of the perineum shows displacement of perineal muscles due to the mass without definite evidence of invasion.
 
Axial section just below the level of the aorta bifurcation showing displacement of bowel loops and compression of bilateral common iliac arteries without signs of invasion.
 
 
 
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