Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 4 , Pages 333-335, December 2006

Torsion of a Uterine Leiomyoma

  • Yueh-Ju Tsai

      Affiliations

    • Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan
    • ,
  • Sew-Khee Yeat

      Affiliations

    • Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan
    • ,
  • Cherng-Jye Jeng

      Affiliations

    • Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan
    • Department of Medicine, College of Medicine, Fu-Jen Catholic University, Taipei, Taiwan
    • Department of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Cherng-Jye Jeng, Department of Obstetrics and Gynecology, Cathay General Hospital, 280, Section 4, Jen-Ai Road, Taipei 106, Taiwan
    • ,
  • Su-Chee Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan

Accepted 4 July 2006.

Article Outline

Summary 

Objective

To report a case of torsion of a pedunculated uterine leiomyoma.

Case Report

A 38-year-old female virgin presented at the emergency department with complaints of severe lower abdominal pain on November 30, 2005. A transabdominal sonogram revealed multiple uterine masses, including a pedunculated mass. With a preoperative diagnosis of torsion of a pedunculated subserosal leiomyoma, the patient underwent an abdominal myomectomy. On gross inspection, the resected myoma was ischemic, and both focal hemorrhage and necrosis were noted in the pathology report.

Conclusion

Torsion of a pedunculated uterine myoma is rare but represents a surgical emergency to improve symptoms and avoid consumptive coagulopathy.

Key Words:  torsion , uterine leiomyoma

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References 

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  2. Mickel I , Bollmann R , Chaoui R , Lau HU . Torsion of the myoma pedicle as a rare cause of ileus in puerperium . Geburtshilfe Frauenheilkd . 1995;55:721–723
  3. Roy C , Bierry G , Ghali SE , Buy X , Rossini A . Acute torsion of uterine leiomyoma: CT features . Abdom Imaging . 2005;30:120–123
  4. Katsumori T , Akazawa K , Mihara T . Uterine artery embolization for pedunculated subserosal fibroids . AJR Am J Roentgenol . 2005;184:399–402

PII: S1028-4559(09)60254-0

doi:10.1016/S1028-4559(09)60254-0

Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 4 , Pages 333-335, December 2006

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