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Insights into Imaging
Fig. 7 | Insights into Imaging

Fig. 7

From: Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part II: uterine emergencies and pelvic inflammatory disease

Fig. 7

Surgically confirmed, spontaneous uterine inversion without mass lesions in a 79-year-old woman experiencing muco-haemorrhagic vaginal discharge. Precontrast (a) and contrast-enhanced (b, c) CT images showed a solid, mass-like enhancing structure (plus sign) surrounded by air coursing through the dilated uterine cervix. Loss of the normally convex uterine fundus (thin arrows) was noted. Physically, the upper vagina was occupied by the inverted uterus. Sagittal (d) and axial (e) T2-weighted MRI images confirmed the diagnosis by showing lost convexity and depression of the uterine fundus (thin arrows), U-shaped inverted uterus (plus sign) with preserved zonal anatomy for age and normal homogeneous enhancement on post-gadolinium T1-weighted image (f), which coursed downwards through the hypointense uterine cervix walls (thin arrows) [adapted from Open Access ref. no [33]]

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