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Click 47 year old woman with a chief complain of abdominal mass and a final diagnosis of a giant leiomyoma. Contrast enhanced CT scan (90ml Optiray) with 5mm contiguous axial images of the abdomen/pelvis was performed.

Findings include:
  • Transverse colon herniated out via abdominal wall defect.
  • A 33cm by 40 cm mass with heterogeneous attenuation.
  • Abdominal mass can be seen compressing retroperitoneal contents.
  • Multiple feeding vessels originating from the celiac axis, superior mesenteric artery, and uterine artery.
  • A small amount of abdominal fluid.
  • Mass extends into the pelvis and appears inseperable from both the uterus and transverse colon.
  • There is no clear fat plane or capsule distinguishing the mass from the adjacent bowel, vessels or muscles.


Click 47 year old woman with a chief complain of abdominal mass and a final diagnosis of a giant leiomyoma. Coronal reformatted contrast enhanced CT scan (90ml Optiray) of the abdomen/pelvis.

Findings include:
  • Transverse colon herniated out via abdominal wall defect.
  • A 33cm by 40 cm mass with heterogeneous attenuation.
  • Abdominal mass can be seen compressing retroperitoneal contents.
  • Multiple feeding vessels originating from the celiac axis, superior mesenteric artery, and uterine artery.
  • A small amount of abdominal fluid.
  • Mass extends into the pelvis and appears inseperable from both the uterus and transverse colon.
  • There is no clear fat plane or capsule distinguishing the mass from the adjacent bowel, vessels or muscles.