A case of axial torsion of uterus with a large haemorrhagic leiomyoma

Rajapaksha, Rkls; Sakalasooriya, Ptb

doi:10.4038/sljog.v33i3.4019

Cited by 1 publication

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The compiled articles have noted various duration of the ailments in case of uterine torsion: 1-2 months until hospitalization and surgery [ 3 , 12 , 13 ]. It depended on the intensity of pain produced by a fast-rotating uterus and the degree of its rotation.…”

Section: Discussionmentioning

confidence: 99%

“…The symptoms of coagulopathy resulted from necrotic and hemorrhagic changes that usually develop when myomas are present and the adnexa have rotated [ 3 , 5 , 6 , 10 ]. Handler et al .…”

Section: Discussionmentioning

confidence: 99%

“…However, access to advanced radiological imaging techniques such as CT or MRI is not always possible considering various circumstances [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Torsion of the uterus with myomas in a postmenopausal woman – case study and review of the literature

Sikora-Szczęśniak

Szczęśniak

Łęgowik

et al. 2014

View full text Add to dashboard Cite

IntroductionTorsion of the uterus is defined as a rotation of more than 45° around the long axis of the uterus; 2/3 of cases are dextrorotations. The extent of rotation usually ranges from 45° to 180°.ObjectiveThe purpose of the article was to present a case study of a postmenopausal woman with uterine torsion and myomas and to review the articles discussing the problem of rotated non-pregnant uterus.Material and methodsThe article analyses the course of an extremely uncommon pathology, i.e. uterine torsion in a 67-year-old patient. Laparotomy exposed the uterus with myomas and numerous hemorrhages, rotated by 180° to the right side, size of 350 × 300 × 200 mm and bilateral necrosis of the ovaries. Moreover, we present a review of articles discussing surgical management in case of rotated non-pregnant uterus.Results and discussionThe patient was operated on by a team of gynecologists and surgeons. The uterus was derotated and total hysterectomy with salpingoophorectomy was performed. A fragment of the hepatic oval ligament was excised and periumbilical hernioplasty was performed. The patient was released home on the 10th day following the operation.ConclusionsIf women complain of pain located within the small pelvis and abdominal cavity it is necessary to remember that it might result from the torsion of reproductive organs which is an uncommon condition but poses a health or life threat to patients. Surgical treatment of uterine torsion is successful if promptly implemented; in certain cases it is even possible to spare the patient's fertility.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The symptoms of coagulopathy resulted from necrotic and hemorrhagic changes that usually develop when myomas are present and the adnexa have rotated [ 3 , 5 , 6 , 10 ]. Handler et al .…”

Section: Discussionmentioning

confidence: 99%