PMC9674408_01
Computed tomography on admission. Intraluminal filling defect from the right ovarian vein to the inferior vena cava (arrow) (a) and a large uterine mass (arrow) (b).
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Contrast-enhanced CT revealed a very large uterine mass (107.5 mm), intraluminal filling defect via the right ovarian vein to the inferior vena cava (Figure 1), and right ventricle masses.
Transesophageal echocardiography, cardiac CT, and MRI appearance. Transesophageal echocardiography showed elongated mass-like structure (arrow) in the right ventricle (a, b). Short axis view of cardiac computed tomography scan revealed a well-defined mass lacking contrast enhancement in the right ventricle below the pulmonary artery valve (c), and cardiac magnetic resonance imaging showed some masses which had hypersignal intensity on fat-saturated T2-weighted image (d), isointensity on T1-weighted image (e), and no suppressed signal on fat-saturated T1-weighted image (f). (AV: atrioventricular; RV: right ventricle; RVOT: right ventricular outflow tract; LV: left ventricle; RV: right ventricle).
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Transesophageal echocardiography revealed a well-defined, mobile mass below the pulmonary artery valve (Figures 2(a) and 2(b)). The cardiac CT revealed a well-defined mass with a lack of contrast enhancement in the right ventricle below the pulmonary artery valve (Figure 2(c)). The cardiac MRI showed some masses in the right ventricle, which had hypersignal intensity on fat-saturated T2-weighted image (Figure 2(d)), isointensity on T1-weighted image (Figure 2(e)), and no suppressed signal by fat suppression on T1-weighted image (Figure 2(f)).
Surgical images via pulmonary artery incision. A large mass (asterisk) in the main pulmonary artery and in the right ventricle via the pulmonary artery incision (a) was removed from the right ventricle (b).
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It perforated the pulmonary valve and infiltrated the right ventricular wall (Figure 3).