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?
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Are those uterine myomas?
ReplyDeletea big fibroid?
ReplyDeleteyep! fibroids/myomas
ReplyDelete-
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.