Uterine cavernous haemangioma in a post-menopausal woman: CT and MRI findings mimicking uterine myoma with degeneration

Br J Radiol. 2011 Apr;84(1000):e68-71. doi: 10.1259/bjr/56484373.

Abstract

Cavernous haemangioma is a very rare vascular malformation of the uterus. We describe the CT and MRI findings of a cavernous haemangioma in an 81-year-old female with recurrent menorrhagia. CT showed a well-marginated mass with multifocal calcifications and extensive haemorrhage, as well as necrosis in the anterior wall of the uterus. MRI revealed heterogeneous low- to high-signal intensities of the mass on T(1) and T(2 )weighted images as well as portions with poor enhancement of the mass on contrast-enhanced T(1 )weighted images. Although rare, cavernous haemangioma should be included in the differential diagnosis of a calcified haemorrhagic necrotic uterine mass in post-menopausal women.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Diagnosis, Differential
  • Female
  • Hemangioma, Cavernous / diagnosis*
  • Hemangioma, Cavernous / pathology
  • Humans
  • Leiomyoma / diagnosis*
  • Leiomyoma / pathology
  • Magnetic Resonance Imaging
  • Postmenopause
  • Tomography, X-Ray Computed
  • Uterine Neoplasms / diagnosis*
  • Uterine Neoplasms / pathology