CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(02): 182-186
DOI: 10.4103/ijri.IJRI_214_17
Genitourinary Radiology

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

Aruna R. Patil
Department of Radiology and Pathology, Apollo Hospitals, Bengaluru, Karnataka, India
,
Shrivalli Nandikoor
Department of Radiology and Pathology, Apollo Hospitals, Bengaluru, Karnataka, India
,
Ramya Padilu
Department of Radiology and Pathology, Apollo Hospitals, Bengaluru, Karnataka, India
› Author Affiliations

Subject Editor: Financial support and sponsorship Nil.

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.



Publication History

Publication Date:
26 July 2021 (online)

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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