Hydropic leiomyoma of the uterus presenting as a giant abdominal mass

Horta, Mariana; Cunha, Teresa Margarida; Oliveira, Rita; Magro, Paula

http://hdl.handle.net/10400.26/14922

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Authors

Horta, Mariana

Cunha, Teresa Margarida

Oliveira, Rita

Magro, Paula

Abstract(s)

We describe a case of a 35-year-old woman with a pedunculated uterine leiomyoma with diffuse hydropic degeneration presenting as a giant abdominal mass. The patient was admitted in the emergency department because of diffuse abdominal bloating and discomfort. Ultrasonography (US) showed a heterogeneous abdominopelvic mass. Magnetic resonance imaging (MRI) was performed to further characterise and revealed a myometrial pedunculated tumour. Despite its marked T2-signal heterogeneity and volume, there were no other suspicious findings to suggest a malignant nature; therefore, fertility-sparing myomectomy was performed. Leiomyomas frequently undergo degenerative changes altering their imaging appearances. Leiomyomas with uncommon degenerative changes may be difficult to differentiate from malignant myometrial tumours, based solely on imaging. To the best of our knowledge, a diffuse hydropic degeneration imaging appearance has only been described twice in the literature. We describe the imaging appearance of this rare form of leio

URI

http://hdl.handle.net/10400.26/14922

Citation

Horta, Mariana; Cunha, Teresa Margarida; Oliveira, Rita; Magro, Paula. Hydropic leiomyoma of the uterus presenting as a giant abdominal mass, BMJ Case Reports, Sep 8;2015, 1-5, 2015.