Diffuse uterine leiomyomatosis

Case contributed by Mahmoud Ibrahim Mekhaimar , 6 Dec 2019
Diagnosis certain
Changed by Dalia Ibrahim, 8 Dec 2019

Updates to Study Attributes

Findings was changed:
  • the uterus is markedly enlarged and studded with multiple fairly defined focal lesionsinnumerable fibroids distributed in a predominantly interstitial and subserous location
  • they show. They elicit predominantly low T1 and T2 signal
  • they are seen. The enlarged uterus is indenting the bladder fundus without. No definite endometrial cavity encroachment.
  • preserved follicular activities of both ovaries
  • normal MR appearance of the cervix and vagina

Updates to Case Attributes

Body was changed:

Diffuse uterine leiomyomatosis is a benign and extremely rare condition. The etiology remains incompletely understood. The uterus is the seat of innumerable small leiomyomas that produce a symmetrical enlargement of the uterus, replacing most of the uterine parenchyma.

These nodules blend with one another and almost replace the uterine parenchyma completely. Unfortunately, hysterectomy - regardless of the patient’s reproductive age - remains the only curative treatment. Uterine artery embolization might be an alternative option to preserve patient reproductive status.

Case courtesy of Dr. Ahmed Abd El-Karim, MD. Lecturer of Diagnostic and Interventional Radiology, Cairo University Hospitals.

  • -<p>Diffuse uterine leiomyomatosis is a benign and extremely rare condition. The etiology remains incompletely understood. The uterus is the seat of innumerable small leiomyomas that produce a symmetrical enlargement of the uterus, replacing most of the uterine parenchyma.</p><p>These nodules blend with one another and almost replace the uterine parenchyma completely. Unfortunately, hysterectomy - regardless of the patient’s reproductive age - remains the only curative treatment. Uterine artery embolization might be an alternative option to preserve patient reproductive status.</p><p> </p><p><em>Case courtesy of Dr. Ahmed Abd El-Karim, MD. Lecturer of Diagnostic and Interventional Radiology, Cairo University Hospitals.</em></p>
  • +<p>Diffuse uterine leiomyomatosis is a benign and extremely rare condition. The etiology remains incompletely understood. The uterus is the seat of innumerable small leiomyomas that produce a symmetrical enlargement of the uterus, replacing most of the uterine parenchyma.</p><p>These nodules blend with one another and almost replace the uterine parenchyma completely. Unfortunately, hysterectomy - regardless of the patient’s reproductive age - remains the only curative treatment. Uterine artery embolization might be an alternative option to preserve patient reproductive status.</p><p><em>Case courtesy of Dr. Ahmed Abd El-Karim, MD. Lecturer of Diagnostic and Interventional Radiology, Cairo University Hospitals.</em></p>

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