Intrapelvic Chronic Expanding Hematoma: Magnetic Resonance Imaging Findings with Pathological Correlation

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  • SAKURAI Jun
    Department of Diagnostic Radiology, Kagawa Prefectural Central Hospital
  • AKAKI Shiro
    Department of Diagnostic Radiology, Kagawa Prefectural Central Hospital
  • YONEZAWA Masaru
    Department of Gynecology, Kagawa Prefectural Central Hospital
  • HORIGUCHI Ikuyo
    Department of Gynecology, Kagawa Prefectural Central Hospital
  • NAKAMURA Satoko
    Department of Pathology, Kagawa Prefectural Central Hospital
  • KANAZAWA Susumu
    Department of Radiology, Okayama University Medical School

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Chronic expanding hematoma is rare and occasionally misdiagnosed as malignant neoplasm. We describe a case in the female pelvis and correlate findings from pathology and magnetic resonance imaging. On diffusion-weighted images (DWI), our patient's hematoma showed 2 different signal intensities, which corresponded to pathological features of fresh and altered blood components. DWI can distinguish between such pathological features of a chronic expanding hematoma.<br>

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