A laparoscopic approach to treating torsion of a nonpregnant uterus accompanied by a large ovarian cyst in a premenarchal girl

Dutra, Robson Azevedo; Perez-Bóscollo, Adriana Cartafina; Ribeiro, Fernanda Cristina Silva Alves; Vietez, Nádia Bicego

doi:10.1016/j.jpedsurg.2007.11.007

Cited by 10 publications

(11 citation statements)

References 8 publications

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“…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%

“…The cases described in the compiled literature occurred in the peri- and postmenopausal period. They are even more infrequent in childhood [ 5 , 6 ]. They produce such symptoms as abdominal pain, acute or chronic, that persists for several months, vaginal bleeding, gastro-intestinal disorders, and urinary tract problems including acute urine retention [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Rotation of the non-pregnant uterus is related to adhesions within the small pelvis, uterine myomas or other uterine abnormalities [ 10 ]. Other causes include congenital or structural (after Caesarean section) anomalies between the uterine body and cervix, long or stiff cervix, giant ovarian cysts, and mitotic dystrophy – a type of Duchenne muscular dystrophy [ 1 , 5 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

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

Sikora-Szczęśniak

Szczęśniak

Łęgowik

et al. 2014

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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.

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“…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%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Sikora-Szczęśniak

Szczęśniak

Łęgowik

et al. 2014

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“…In our case, the ovaries were intact and their vascular integrity maintained, despite the horizontal torsion. Although the clinical presentation of torsion is nonspecific, the treatment usually involves surgical intervention, either by laparoscopic or open techniques (12).…”

Section: Discussionmentioning

confidence: 99%

Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report

Omurtag

Session

Brahma

et al. 2009

Fertility and Sterility

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“…However, the risk of penetration of the large tumors with the introduction of the Veress needle and, subsequently, the trocar has led to the recommendation for insertion of the needle and trocar under sonographic control or the use of open laparoscopy. [10][11][12][13] In our patient, we chose an open laparoscopy. The trocars were inserted under visual control, and controlled decompression was achieved by the insertion of a needle connected to a suction apparatus, secured with a purse-string suture to prevent fluid leakage.…”

Section: Laparoscopic-assisted Vaginal Ovarian Cystectomymentioning

confidence: 99%

Laparoscopically Assisted Vaginal Ovarian Cystectomy for Clinically Diagnosed Benign Large Ovarian Masses

Wang

Chao

Lai

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

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A laparoscopic approach to treating torsion of a nonpregnant uterus accompanied by a large ovarian cyst in a premenarchal girl

Cited by 10 publications

References 8 publications

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

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

Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report

Laparoscopically Assisted Vaginal Ovarian Cystectomy for Clinically Diagnosed Benign Large Ovarian Masses

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