A Diagnostic Dilemma of Recurrent Disseminated Peritoneal Leiomyomatosis with Hypertrophied Omental Vessels: Imaging and Embolization of Omental Branches with Positive Outcome

Figure 3

CT Angiography. Axial scan through the lower abdomen revealed a large heterogenous mass with multiple intralesional vascular channels ((a) and (b)); volume rendering reconstructed images ((c) and (d)) show a hypertrophied vascular channel (omental branch) arising from the right gastroepiploic artery (red arrow on (c)) which is encircled with a draining tributary which is drained into the superior mesenteric vein (yellow arrow on (d)); an angiographic reconstructed image (e) shows a highly vascular mass with multiple intralesional vascular channels (red circle).

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