Spanoudaki Athina, Oikonomou Anastasia, Dimitrova Krasimira, Prassopoulos Panos
Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Greece.
Cases J. 2008 Nov 17;1(1):315. doi: 10.1186/1757-1626-1-315.
A 48-year-old woman presented with abdominal fullness and a palpable "mass" in the left lower quadrant. Ultrasonography showed a large, rounded, hypoechoic mass. Contrast-enhanced helical CT of the abdomen demonstrated a well-circumscribed, heterogeneously but vividly enhancing mass. The uterus had a leiomyomatous configuration on CT. Uterus and mass revealed the same enhancing pattern. Thin section CT revealed a long, thin stalk connecting the mass with the body of the uterus. Surgical removal of both uterus and the mass confirmed the diagnosis of a pedunculated subserosal leiomyoma originating from a leiomyomatous uterus.
一名48岁女性因腹部胀满及左下腹可触及“肿块”就诊。超声检查显示一个大的、圆形的低回声肿块。腹部增强螺旋CT显示一个边界清晰、不均匀但强化明显的肿块。CT上子宫呈平滑肌瘤形态。子宫和肿块显示出相同的强化模式。薄层CT显示一条细长的蒂将肿块与子宫体相连。手术切除子宫和肿块证实诊断为起源于平滑肌瘤性子宫的带蒂浆膜下平滑肌瘤。
