2013
DOI: 10.6118/jmm.2013.19.3.147
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A Case of Torsion of a Subserosal Leiomyoma

Abstract: Uterine leiomyoma is one of the most common gynecological tumor, whereas acute torsion of the uterine leiomyoma is very rare. We report a case of subserosal leiomyoma that was first detected by ultrasonography, and further confirmed as torsion of subserosal leiomyoma by laparoscopic surgery.

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Cited by 23 publications
(20 citation statements)
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“…In reported case of torsion of subserosal leiomyoma, the patient was misdiagnosed as having secondary degeneration of uterine leiomyoma prior to the operation; she had suffered from abdominal pain for 2 weeks before surgery. 13 However, in our cases, most symptoms were nonspecific, except for chronic pelvic pain. If asymptomatic, lipoleiomyomas require no treatment; it is therefore essential to distinguish these tumors from those requiring surgical excision.…”
Section: Discussionmentioning
confidence: 46%
“…In reported case of torsion of subserosal leiomyoma, the patient was misdiagnosed as having secondary degeneration of uterine leiomyoma prior to the operation; she had suffered from abdominal pain for 2 weeks before surgery. 13 However, in our cases, most symptoms were nonspecific, except for chronic pelvic pain. If asymptomatic, lipoleiomyomas require no treatment; it is therefore essential to distinguish these tumors from those requiring surgical excision.…”
Section: Discussionmentioning
confidence: 46%
“…For diagnosing uterine fibroid torsion, color Doppler can be used to detect blood flow disruption to subserosal fibroids. However, this finding is not specific, and blood flow findings may not be observed when the pedicle of the subserosal fibroid is thin 2) . Other imaging modalities (CT and MRI) have better sensitivity and specificity for it.…”
Section: Discussionmentioning
confidence: 83%
“…Considering all the information available, it is important to make a differential diagnosis of uterine fibroid torsion before selection of the singleport laparoscopic surgery. When a patient with a fibroid complains of acute abdominal pain, it is usually due to other causes rather than uterine fibroids 2) . Therefore, it is necessary to exclude appendicitis, Successful management of preoperatively diagnosed torsion of a subserosal uterine fibroid by pneumoperitoneum laparoscopic singleport surgery gastroenteritis, torsion of ovarian tumor, pelvic inflammatory disease, ectopic pregnancy, ovarian bleeding, etc.…”
Section: Discussionmentioning
confidence: 99%
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