Clinical Features:
A 50 years old female patient came with lower abdominal pain.
Ultrasound Features:
- Bulky uterus.
- Multiple well-defined oval heterogeneously hypoechoic subserous & intramural fibroids in the anterior myometrium of the uterine body. Color Doppler shows high impedance flow in supplying vessels.
- Tiny well-defined oval anechoic cervical nabothian cyst.
Remember:
Fibroid should have an echogenic thin pseudocapsule which helps differentiate between adenomyosis & fibroid though they may present simultaneously.
Ultrasound Images:
Fig: Transabdominal Scan: Multiple hypoechoic subserous fibroids, indenting the anterior myometrium
Fig: TVS: Bulky uterus
Fig: Nabothian Cyst
Fig: Nabothian cyst
Fig: TVS: Multiple hypoechoic intramural fibroids
Fig: TVS: Multiple hypoechoic subserous fibroids
Fig: TVS: Multiple hypoechoic intramural & subserous fibroids
Fig: Heterogeneous intramural fibroid
Fig: Fibroid with predominantly peripheral vascularity
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