Abstract
A 58-year-old woman with an enlarging uterine myoma in menopause presented for gynecologic evaluation. The enlarging, pedunculated, exophytic myoma measuring 8.7 × 10 × 10 cm was noted incidentally on computed tomography performed for an episode of acute abdominal pain attributed to diverticulitis. Three years earlier, the myoma measured 4.0 × 4.2 × 3.9 cm on the transvaginal ultrasound. Given the concern for an enlarging myoma in menopause, magnetic resonance imaging was performed, which showed a pedunculated fundal myoma measuring 8.5 × 7.2 × 9.2 cm and a progressively enhancing right ovarian cyst measuring 3.5 × 2 cm (Fig.
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