Uterine fibroids are the most common tumors of uterus. Determination of the treatment options depend on the ability of imaging modalities to accurately detect fibroid tumors. Sexually inactive, 43 year-old woman was admitted, with a main complaint of heavy menstrual bleeding. Abdominopelvic ultrasound showed intramural myomas. Myomectomy was done. After the operation, the patient applied to our clinic with the complaint of vaginal bleeding. Abdominopelvic ultrasound showed a lesion on the anterior side of the uterus and was thought to be hematoma. The patient was hospitalized to perform a simple hysterectomy. After hysterectomy, a longitudinal anterior uterine incision was done and a submucousal myoma filling the whole cavity was seen. Transvaginal ultrasound seems to be the best way to determine the myomas. But if the patient is virgin, it is impossible to perform. Diagnostic tools, including transrectal ultrasound or magnetic resonance imaging may play significant roles in determining precise preoperative diagnosis.

Authors: Emre Sinan Gungor, Ali Galip Zebitay, Gulsah Keskin, Mustafa Kemal Unver, Fatma Ferda Verit

Key Words: Uterine fibroid, transrectal ultrasound, magnetic resonance imaging, virgin patient