Prenatal magnetic resonance imaging assisting in differentiating between large degenerating intramural leiomyoma and complex adnexal mass during pregnancy

David M. Sherer, Ceceleta Y. Maitland, Nanci F. Levine, Chaya Eisenberg, Ovadia Abulafia

Research output: Contribution to journalArticle

19 Scopus citations

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 languageEnglish (US)
Pages (from-to)186-189
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume9
Issue number3
StatePublished - May 1 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

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