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(a) Abdomen/pelvis CT scan and MRI showing progressive enlargement of the leiomyomatous uterus with time: pretransplant (A-12.2cms), immediately posttransplant (B-12.2 cms), and 4 years after transplant (C- 21.6 cms). Note: A=8/11/2012, B=12/12/2012, and C=11/01/2017. (b) Abdomen/pelvis MRI depiction of massively enlarged leiomyomatous uterus (U) completely replacing the urinary bladder (B) and transplanted kidney (K), causing severe hydronephrosis. Note that the uterus fundus is extending 5 cms above the umbilicus.
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Due to these persistent symptoms however, she underwent a pelvic magnetic resonance imaging (MRI) to evaluate her symptomatic menorrhagia, now ~ 4-years post-KT, surprisingly revealing a massively enlarged uterus causing complete lateral displacement of transplanted kidney with severe hydronephrosis (Figures 1(a) and 1(b)).
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