Thursday, August 28, 2014

A Rare Disease in Other Mammals

A 30 year old African American woman with hypertension presents to you because of heavy and prolonged menstrual bleeding as well as pelvic pain. She is G4P1 with 3 miscarriages. Menarche was at 9 years of age. She eats a lot of beef and red meats. Review of systems is positive for urinary frequency. A transvaginal ultrasound is shown above.

Challenge: What's your diagnosis?

Image shown under Fair Use.


Anonymous said...

Are those uterine myomas?

Ram said...

a big fibroid?

Craig Chen said...

yep! fibroids/myomas
A Disease Rare in Other Mammals

This is a uterine leiomyoma or fibroid, a benign monoclonal tumor arising from the smooth muscle cells of the myometrium. The transvaginal ultrasound image shows the right adnexa with a pedunculated fibroid (long arrow). The solid mass is heterogeneous with some shadowing (short arrow). The arrowhead marks the stalk connecting it to the uterus.

Source: UpToDate.