Hydropic degeneration of leiomyoma in nongravid uterus: The “split fiber” sign on magnetic resonance imaging

Abstract Extensive hydropic degeneration in uterine leiomyoma is a rare occurrence and is commonly reported in association with pregnancy. It is a close mimicker of malignancy due to rapid growth and atypical imaging appearances. Awareness of the imaging features helps in diagnosis, avoids unnecessa...

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Bibliographic Details
Published inThe Indian journal of radiology & imaging Vol. 28; no. 2; pp. 182 - 186
Main Authors Patil, Aruna R., Nandikoor, Shrivalli, Padilu, Ramya
Format Journal Article
LanguageEnglish
Published A-12, Second Floor, Sector -2, NOIDA -201301, India Thieme Medical and Scientific Publishers Private Ltd 01.04.2018
Wolters Kluwer India Pvt. Ltd
Medknow Publications and Media Pvt. Ltd
Georg Thieme Verlag Stuttgart
Medknow Publications & Media Pvt Ltd
Thieme Medical and Scientific Publishers Pvt. Ltd
Subjects
Care and treatment
Diagnosis
Fibroids
Genitourinary Radiology
Health aspects
hydropic degeneration
Leiomyoma
Magnetic resonance imaging
Pregnancy
split fiber sign
split fiber sign
magnetic resonance imaging
Hydropic degeneration
leiomyoma
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Summary:Abstract Extensive hydropic degeneration in uterine leiomyoma is a rare occurrence and is commonly reported in association with pregnancy. It is a close mimicker of malignancy due to rapid growth and atypical imaging appearances. Awareness of the imaging features helps in diagnosis, avoids unnecessary patient anxiety, and hence reassurance especially when encountered in pregnancy. We report two cases of extensive hydropic degeneration of leiomyoma in nonpregnant females with imaging and histopathology correlation. We also propose the “split fiber” sign as a useful magnetic resonance imaging feature for diagnosing this condition.
ISSN:0971-3026
0970-2016
0971-3026
1998-3808
DOI:10.4103/ijri.IJRI_214_17