Ultrasonographic diagnosis of postpartum aborting large intracavitary leiomyoma

Intracavitary leiomyomas represent a subtype of submucous leiomyomas and ra rely are seen as a prolapsing or aborting leiomyoma.(1,2) In a study of 178 5 women undergoing abdominal surgery for uterine leiomyomas, Smith and coll eagues(3) noted that the prevalence of prolapsing submucous leiomyomas was 2.7%. We describe an unusual case in which a previously considered intramur al leiomyoma was associated with prolonged postpartum hemorrhage and was di agnosed correctly with transvaginal ultrasonography as a large aborting sub mucous intracavitary leiomyoma in a woman presenting with fever, persistent uterine bleeding, and lower abdominal pain.