Illuminating the obvious-radiological signs for differentiating exophytic subserosal leiomyomas from juxtauterine pelvic masses: a case series

Naval Mayur Gheewala; Amit Shrivastava; Gunjan Jindal; Preeti Garg; Smriti Deswal

doi:10.18203/2320-1770.ijrcog20243195

Authors

Naval Mayur Gheewala Department of Radiology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Haryana, India
Amit Shrivastava Department of Radiology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Haryana, India
Gunjan Jindal Department of Radiology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Haryana, India
Preeti Garg Department of Oral Medicine and Radiology, Maharishi Markandeshwar Institute of Dental Sciences and Research, Mullana, Haryana, India
Smriti Deswal Department of Radiology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Haryana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243195

Keywords:

Uterine leiomyomas, Exophytic subserosal leiomyomas, Juxtauterine pelvic masses, Bridging vessel sign and claw sign

Abstract

The most frequent uterine neoplasms are leiomyomas, which are tumours of the smooth muscles of uterus. Although leiomyomas are usually asymptomatic, they can manifest with symptoms such as pain, dysmenorrhea or infertility. They are classified on the basis of their anatomic location and morphology. Although exophytic fibroids are generally easy to identify, certain cases can mimic other adnexal disorders, making accurate diagnosis more challenging and necessitating careful differentiation. In this article, we will review and discuss various MRI signs that help distinguish exophytic subserosal fibroids from other juxtauterine pathologies. Understanding these signs is crucial for achieving an accurate diagnosis and guiding the selection options.

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