Complete Cystic Degeneration of a Uterine Myoma Posing a Diagnostic Dilemma

In this case, we describe a rare presentation of a uterine myoma in a 42-year-old female patient who presented with a progressively enlarging abdominopelvic mass and heavy menstrual bleeding for 1 month. Initial work showed that the patient has a low hemoglobin count and elevated CA-125 tumor marker...

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Bibliographic Details
Main Authors: Abdi Dandena Dibaba, Neema Ljani, Aqeela Mustafa, Hussein Khanbhai, Abel Ntungi, Alfred Secha, Natnael Alemu Bezabih, Misiker Gebremariam Waktola, Shafi Samiji Ramadhani
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/crra/5627017
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Summary:In this case, we describe a rare presentation of a uterine myoma in a 42-year-old female patient who presented with a progressively enlarging abdominopelvic mass and heavy menstrual bleeding for 1 month. Initial work showed that the patient has a low hemoglobin count and elevated CA-125 tumor marker. A pelvic ultrasound revealed a cystic pelvic lesion with an undetermined origin. Subsequent follow-up after 6 weeks showed significant enlargement of the mass, prompting a pelvic MRI to be performed; the MRI showed a large, completely cystic uterine myoma arising from the anterior myometrium. This case highlights the atypical presentation of a common gynecological condition that can result in a diagnostic dilemma and the importance of advanced imaging such as MRI to be a problem-solving tool.
ISSN:2090-6870