Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part II: uterine emergencies and pelvic inflammatory disease

摘要

Endometrial polyp in a 44-year-old woman with acute uterine bleeding and associated bilateral ovarian neoplasm. Sagittal ( ) and oblique-coronal ( ) T2-weighted images show a huge polypoid mass (arrowheads) arising from the uterine fundus that fills the endometrial cavity and protrudes into the cervical canal. Note the hypointense stromal axis of the polyp (arrows). Corresponding sagittal ( ) and oblique-coronal ( ) precontrast fat-suppressed T1-weighted images show hyperintense foci on the polyp edge (thin arrows), representing haemorrhage. On gadolinium-enhanced sagittal ( ) and oblique-coronal ( ) fat-suppressed T1-weighted images, the implant base (stromal axis) of the polyp shows intense enhancement (arrows). The patient underwent bilateral uterine artery embolisation in order to control bleeding