Fig. 7

Pedunculated submucosal fibroid with prolapse and torsion. The patient presented to the emergency department with acute abdominal pain and vaginal bleeding. a Sagittal T2 image demonstrates a fibroid arising on a stalk (white arrow) that originates in the lower endometrial cavity. The fibroid has prolapsed into the endocervical canal (black arrow) and demonstrates areas of low T2 suggestive of haemorrhage. These features are typical of a pedunculated fibroid or polyp. b Axial T2 image demonstrates the torted fibroid (white arrow) surrounded by the ring of cervical stroma (black arrow). c Axial T1 fat-saturated image demonstrates high signal intensity within the fibroid indicating haemorrhage (black arrow). d Axial T1 fat-saturated image following gadolinium administration demonstrates lack of enhancement consistent with torsion (white arrow)