Imaging of Giant Uterine Leiomyoma: A Diagnostic Dilemma

Abstract

A 47-year-old woman presented to emergency complaining of diffuse abdominal pain and reporting a slight and progressive increase in weight and abdominal size in the last two years. Her sexual life was regular, with no pathological vaginal bleedings. Her medical and family history was unremarkable, and she had one full-term pregnancy 15 years earlier. Laboratory tests were normal. Physical examination demonstrated an enlarged and palpable abdominal-pelvic mass that appeared heterogeneous with solid and cystic areas at transabdominal ultrasound (US) and low intralesional vascularization at Color Doppler.