PMC9968760_01
Prolapse day 1. A soft, hyperemia, edema, and bag-like excrescence was observed in the patient's vulva, which could be self-repaired with a diameter of approximately 4 cm.
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F1
She had filthy, smelly lochia and a soft, hyperemic, edematous, bag-like excrescence in her vulva (Figure 1), which could be self-repaired and had a diameter of approximately 4 cm.
Prolapse day 5. The mass became flaky and gradually darkened due to ischemia.
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F2
On the fifth day after the prolapse, the mass became flaky and gradually darkened due to ischemia (Figure 2).
(A) T2-weighted MRI images of the pelvis found uneven signals in the myometrium of the uterus, slightly lower signal mass near the bottom of the posterior wall of the uterus, no diffusion limitation in DWI, slightly uneven lower signal in the intrauterine, scattered gas signal, and slightly uneven lower signal in the vagina connected with the intrauterine signal. (B) Dynamically enhanced sagittal T1-weighted images of the pelvis found no enhancement of the intrauterine and vaginal signals. MRI, magnetic resonance imaging; DWI, diffusion-weighted imaging.
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F3
T2-weighted magnetic resonance imaging (MRI) images of the pelvis showed uneven signals in the myometrium of the uterus, moderately lower signal mass near the bottom of the posterior wall of the uterus, no diffusion limitation in diffusion-weighted imaging (DWI), marginally unbalanced lower signal in the intrauterine, scattered gas signal, and slightly uneven lower signal in the vagina connected with the intrauterine signal (Figure 3A). Dynamically enhanced sagittal T1-weighted images of the pelvis showed no enhancement of the intrauterine and vaginal signal (Figure 3B).
Complete excision of the vegetation was removed as far as possible and divided into several pieces of irregular tissue during the operation.
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F4
The vegetation was excised completely as far as possible and divided into irregular tissue pieces during the operation (Figure 4).