Abstract
We present an unusual case in which a 36-year-old patient was referred due to increasing upper left quadrant abdominal pain and a possible left adnexal mass at 22 weeks' gestation. Ultrasonography demonstrated a multiseptated cystic mass, with solid components measuring 12 cm in diameter. A thin sonolucency was thought to separate the mass from the uterus and thus the mass was considered consistent with an adnexal mass, possibly a mucinous cystadenoma. A large degenerating leiomyoma could not be ruled out with certainty and magnetic resonance (MR) imaging was performed which depicted a thin band of myometrium encompassing the complex mass and was therefore diagnostic of a degenerating uterine leiomyoma. We discuss the contribution of MR imaging in the noninvasive diagnosis of undetermined solid pelvic masses visualized ultrasonographically.
Original language | English (US) |
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Pages (from-to) | 186-189 |
Number of pages | 4 |
Journal | Journal of Maternal-Fetal and Neonatal Medicine |
Volume | 9 |
Issue number | 3 |
State | Published - May 2000 |
Keywords
- Complex adnexal mass
- Degenerating uterine leiomyoma
- Magnetic resonance imaging
- Prenatal ultrasonography
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology