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Lee, Kang, Song, Koh, Choi, and Lee: MRI Induced Second-Degree Burn in a Patient with Extremely Large Uterine Leiomyomas: A Case Report
Uroradiology

Journal of the Korean Society of Radiology 2015; 73(6): 424-427.

Published online: 3 December 2015

DOI: https://doi.org/10.3348/jksr.2015.73.6.424

MRI Induced Second-Degree Burn in a Patient with Extremely Large Uterine Leiomyomas: A Case Report

Chul-Min Lee, MD1, Bo-Kyeong Kang, MD1, Soon-Young Song, MD1, Byung-Hee Koh, MD1, Joong Sub Choi, MD2, Won Moo Lee, MD2

1Department of Radiology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

2Division of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

Corresponding author: Bo-Kyeong Kang, MD. Department of Radiology, Hanyang University Medical Center, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea. Tel. 82-2-2290-9164, Fax. 82-2-2293-2111, msbbogri@naver.com

Received 26 June 2015       Revised 13 August 2015       Accepted 30 August 2015

Copyright © 2015 The Korean Society of Radiology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Burns and thermal injuries related with magnetic resonance imaging (MRI) are rare. Previous literature indicates that medical devices with cable, cosmetics or tattoo are known as risk factors for burns and thermal injuries. However, there is no report of MRI-related burns in Korea. Herein, we reported a case of deep second degree burn after MRI in a 38-year-old female patient with multiple uterine leiomyomas including some that were large and degenerated. The large uterine leiomyoma-induced protruded anterior abdominal wall in direct contact with the body coil during MRI was suspected as the cause of injury, by retrospective analysis. Therefore, awareness of MRI related thermal injury is necessary to prevent this hazard, together with extreme care during MRI.

Keywords: Burns, Magnetic Resonance Imaging, Leiomyoma, Uterine

Figures and Tables

Fig. 1

A 38-year-old female patient with multiple uterine leiomyomas including one in the right anterior that was extremely large.

A-C. T2-weighted axial (A) and coronal (B), and sagittal (C) images show 2 extremely large degenerated subserosal type leiomyomas in the right anterior and posterior side of the uterus (asterisks) and other multiple T2-hypointense leiomyomas. The adjacent right lower anterior abdominal wall is protruded by the mass effect of the large leiomyoma.
D. Clinical photograph of the same patient. A deep 2nd degree burn is noted at the anterior abdominal wall of right lower abdomen that was protruded by the large uterine leiomyoma.
jksr-73-424-g001

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