A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid
Myometrial cysts of the uterus are extremely rare. Uterine leiomyomas commonly undergo degenerative changes, which can lead to variable imaging features. Diffuse hydropic change is an unusual form that presents a considerable diagnostic challenge to both radiologists and pathologists. A 27-year old...
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doaj-53e84c55422149419cc4d890129e04d22020-11-25T02:35:55ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2015-06-0146252953410.1016/j.ejrnm.2015.03.003A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroidElsayed Elbadawy Awad0Ahmed Samy El-agwany1Ahmed Mahmoud Elhabashy2Alaa El-zarka3Ayat Samir Abdel Moneim4Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, EgyptMyometrial cysts of the uterus are extremely rare. Uterine leiomyomas commonly undergo degenerative changes, which can lead to variable imaging features. Diffuse hydropic change is an unusual form that presents a considerable diagnostic challenge to both radiologists and pathologists. A 27-year old nulliparous patient admitted to our hospital for antenatal care and left sided pelvic pain. Transvaginal ultrasonographic examination revealed a 20 cm intramural cystic lesion in the left region of the corpus uteri suspicious of degenerated myoma. Repeated aspiration was done. Spontaneous abortion occurred in the first trimester. Rapid distension of the abdomen despite repeated aspirations occurred. MRI revealed degenerated myoma. Ultrasound performed one day before surgery revealed a turbid content instead of the clear fluid. Laparotomy was performed revealing a huge interstitial myoma with bloody collection inside so, myomectomy was performed. Histopathology showed hydropic degenerated myoma. Although fibroids usually have a characteristic sonographic appearance, degenerating myomas have variable patterns and can pose a diagnostic dilemma. Extensive cystic degeneration can mimic an ovarian tumour.http://www.sciencedirect.com/science/article/pii/S0378603X15000601MyomaHydropic degenerationMyometrial cystUltrasoundPregnancyAspiration |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elsayed Elbadawy Awad Ahmed Samy El-agwany Ahmed Mahmoud Elhabashy Alaa El-zarka Ayat Samir Abdel Moneim |
spellingShingle |
Elsayed Elbadawy Awad Ahmed Samy El-agwany Ahmed Mahmoud Elhabashy Alaa El-zarka Ayat Samir Abdel Moneim A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid The Egyptian Journal of Radiology and Nuclear Medicine Myoma Hydropic degeneration Myometrial cyst Ultrasound Pregnancy Aspiration |
author_facet |
Elsayed Elbadawy Awad Ahmed Samy El-agwany Ahmed Mahmoud Elhabashy Alaa El-zarka Ayat Samir Abdel Moneim |
author_sort |
Elsayed Elbadawy Awad |
title |
A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid |
title_short |
A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid |
title_full |
A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid |
title_fullStr |
A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid |
title_full_unstemmed |
A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid |
title_sort |
giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: an uncommon presentation of hydropic degeneration of uterine fibroid |
publisher |
SpringerOpen |
series |
The Egyptian Journal of Radiology and Nuclear Medicine |
issn |
0378-603X |
publishDate |
2015-06-01 |
description |
Myometrial cysts of the uterus are extremely rare. Uterine leiomyomas commonly undergo degenerative changes, which can lead to variable imaging features. Diffuse hydropic change is an unusual form that presents a considerable diagnostic challenge to both radiologists and pathologists. A 27-year old nulliparous patient admitted to our hospital for antenatal care and left sided pelvic pain. Transvaginal ultrasonographic examination revealed a 20 cm intramural cystic lesion in the left region of the corpus uteri suspicious of degenerated myoma. Repeated aspiration was done. Spontaneous abortion occurred in the first trimester. Rapid distension of the abdomen despite repeated aspirations occurred. MRI revealed degenerated myoma. Ultrasound performed one day before surgery revealed a turbid content instead of the clear fluid. Laparotomy was performed revealing a huge interstitial myoma with bloody collection inside so, myomectomy was performed. Histopathology showed hydropic degenerated myoma. Although fibroids usually have a characteristic sonographic appearance, degenerating myomas have variable patterns and can pose a diagnostic dilemma. Extensive cystic degeneration can mimic an ovarian tumour. |
topic |
Myoma Hydropic degeneration Myometrial cyst Ultrasound Pregnancy Aspiration |
url |
http://www.sciencedirect.com/science/article/pii/S0378603X15000601 |
work_keys_str_mv |
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