Clinical Features:
A 26 years old female patient came with
- Amenorrhoea followed by pervaginal bleeding
- β-hCG level >100,000 mIU/ml
Ultrasound Features:
- Bulky uterus with central intrauterine mass with diffuse cystic spaces without any associated fetal parts giving a snow-storm appearance.
- Large, irregular, tornado-shaped lacunar vessels with turbulent low impedance flow are noted at the posterior & left anterolateral aspect of the mass suggesting bridging vessels extending to myometrium with irregular & indistinct boundaries between the mass & myometrium at those sites.
Ultrasound Images:
Fig: Bulky uterus with central intrauterine mass with diffuse cystic spaces without any associated fetal parts giving a snow-storm appearance.
Fig: Large, tortuous, tornado-shaped lacunar vessels with turbulent flow
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