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Casuïstiek

1. Cystic degeneration of a myoma

48 year old woman, a tumor in abdomen was discovered. No complaints except fatigue. apparently caused by seve anemia (Hb 4,4 mmol/l), probably based on insufficient dietary intake of iron (vegetarian).

She remembers after second delivery (17 years ago) she had a period of severe abdominal pains. At that time no ultrasound was made. Probably at that time necrosis of a myoma occured with as a result now cystic degeneration.

 

 

1. Abdominal scan with multislice technique slices of 5 mm each.

 

Color doppler

 

Volume CT cross image: cystic mass in 3 dimensions

 

real 3D image

 

During operation: smooth enlarged uterus with hydrosalpinx

 

After operation: uterus and tubae

images published with permission of patient

 
 

 

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Academisch Medisch Centrum Onze Lieve Vrouwe Gasthuis St. Lucas/Andres Ziekenhuis Vrije Universiteit medisch centrum
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