Document Detail

Prenatal magnetic resonance imaging assisting in differentiating between large degenerating intramural leiomyoma and complex adnexal mass during pregnancy.
MedLine Citation:
PMID:  10914629     Owner:  NLM     Status:  MEDLINE    
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.
D M Sherer; C Y Maitland; N F Levine; C Eisenberg; O Abulafia
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of maternal-fetal medicine     Volume:  9     ISSN:  1057-0802     ISO Abbreviation:  J Matern Fetal Med     Publication Date:    2000 May-Jun
Date Detail:
Created Date:  2000-11-28     Completed Date:  2000-11-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9211288     Medline TA:  J Matern Fetal Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  186-9     Citation Subset:  IM    
Department of Obstetrics & Gynecology, Albert Einstein College of Medicine, Bronx, New York, USA.
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MeSH Terms
Abdominal Pain / complications
Adnexal Diseases / complications,  diagnosis,  ultrasonography*
Diagnosis, Differential
Infant, Newborn
Leiomyoma / complications,  diagnosis,  ultrasonography*
Magnetic Resonance Imaging*
Pregnancy Complications, Neoplastic / diagnosis,  ultrasonography*
Uterine Neoplasms / complications,  diagnosis,  ultrasonography*

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