case_images: PMC11102795_01
case_images: Sonographic depiction of uterine lumen growth in a Dual Power Doppler mode. Irregular hypogenic/echogenic foci within thin echogenic capsule (yellow arrows) along with highly vascularized blood perfusion (blue arrow).
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case_images: F1
case_images: TRUS unveiled an intriguing landscape within the intra-luminal mass, a spherical structure measuring precisely 3.17 cm in diameter, meticulously gauged via Mindray Z5's integrated caliper. This enigmatic mass exhibited a mosaic of irregular hypoechogenic/ echogenic foci, being ensconced intricately within a delicate, thin echogenic capsule (Fig. 1).
case_images: Photomicrographs of uterine biopsy. A) Presence of neoplastic smooth muscle cells arranged in interlacing bundles (black encircled areas) showing mild pleomorphism. Increase in nucleus: cytoplasm ratio with prominent nuclei and 1-2 mitotic figures per 10 high power fields, along with chronic inflammatory cells infiltration (yellow arrows) around the vessels (Hematoxylin and Eosin staining, 20.00x); B) Inappreciable amount of connective tissue between neoplastic cells (Masson's trichrome staining, 10.00 x)
case_images: vrf-15-207-g002.jpg
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case_images: F2
case_images: The collected tissue was meticulously preserved in 10.00% formal saline to maintain its structural integrity and biological characteristics for further detailed examination through histopathology (Fig. 2).
case_images: Exteriorisation of intra-luminal growth during right flank celiotomy (red arrow), and clear demarcation of the tumorous mass stalk (yellow arrow)
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case_images: F3
case_images: Upon incision of the right uterine horn, the round mass was found attached to the uterine wall (Fig. 3), the stalk was then excised and representative samples from the tumour mass (Fig. 4) were collected in 10.00% neutral buffered formalin for histopathological evaluation.
case_images: Yellow colour of urine (control; yellow arrow), and blue discolouration of the urine (after evaluation of right side fallopian tube; blue arrow)
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case_images: F5
case_images: Subsequently, the urinary bladder was catheterized, and after a 30-min post-infusion interval, the presence of blue coloration in the urine indicated the patency of the right uterine horn (Fig. 5).