Family Medicine, OB/GYN
November 6th 2023

Pelvic Ultrasound

A 16-year-old female underwent a routine pelvic ultrasound. The urine pregnancy test and serum beta-human chorionic gonadotropin (hCG) were negative. Images courtesy of UltrasoundCases.info, owned by SonoSkills.   What is the most likely diagnosis? Molar pregnancy Uterine fibroid Endometrioma   Explanation A large round fibroid was discovered incidentally. Fibroid of the uterus is also known […]

A 16-year-old female underwent a routine pelvic ultrasound. The urine pregnancy test and serum beta-human chorionic gonadotropin (hCG) were negative.

Images courtesy of UltrasoundCases.info, owned by SonoSkills.

 

What is the most likely diagnosis?

  1. Molar pregnancy
  2. Uterine fibroid
  3. Endometrioma

 

Explanation

A large round fibroid was discovered incidentally. Fibroid of the uterus is also known as a leiomyoma. This fibroid was reported as subserosal. Typical fibroid uterus is seen as a well-defined, hypoechoic mass with variable acoustic shadowing.

 

References

https://doi.org/10.5114%2Fpm.2017.72754

https://doi.org/10.1016/j.jmu.2015.12.006

https://doi.org/10.1590%2F0100-3984.2022.0048

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