Torsion of a gastric leiomyoma

Walrond, E R; Sahoy, R R

doi:10.1002/bjs.1800600418

Cited by 2 publications

(4 citation statements)

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“…A literature review identified 14 cases[ 2 , 6 - 18 ] of RL torsion in the PubMed database from 1960 through 2023 (Table 1 ). The PubMed database was searched with the following search terms or keywords: “torsion AND (fibroid OR myoma OR leiomyoma) AND (English[Language]) AND (("1960"[Date-Publication]: "2023"[Date-Publication]))”, yielding 188 results.…”

Section: Discussionmentioning

confidence: 99%

“…The PubMed database was searched with the following search terms or keywords: “torsion AND (fibroid OR myoma OR leiomyoma) AND (English[Language]) AND (("1960"[Date-Publication]: "2023"[Date-Publication]))”, yielding 188 results. Among these, 175 studies were excluded: 40 were reviews or guidelines only; 18 were retrospective or prospective articles not related to RL torsion; 19 were case reports not related to torsion; 36 were case reports of uterine torsion; 22 were case reports of adnexal torsion; 37 were case reports of uterine myoma torsion; 1 was a case report of testis torsion; 1 was a case report of appendix torsion; and 1 was case report of primary omental torsion, leaving 13 publications for review[ 2 , 6 , 8 - 18 ]. One article was found through a search of the bibliographies of the other articles[ 7 ], for a total of 14 English reports of RL torsion found via the PubMed database.…”

Section: Discussionmentioning

confidence: 99%

“…The main treatment for RL torsion is surgery, most commonly involving myomectomy. If the torsion is not relieved in time, it may be followed by gangrene, peritonitis, haemoperitoneum, or even shock[ 2 - 5 ]. Therefore, the possibility of RL torsion should be considered in patients with pelvic masses associated with acute abdominal pain and other related symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…RL torsion is extremely rare; once torsion occurs, it can cause acute abdominal pain and even lead to serious consequences, such as gangrene, peritonitis, haemoperitoneum and shock, if not identified and treated promptly[ 2 - 5 ]. Therefore, a better understanding of the characteristics of RL torsion is needed.…”

Section: Introductionmentioning

confidence: 99%

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Torsed retroperitoneal leiomyomas: A case report and review of literature

Li,

Zhu-Ge,

Lin

2024

World J Clin Cases

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BACKGROUND Retroperitoneal leiomyomas (RLs) are rare benign tumours that can occur in the pelvic and/or abdominal parietal retroperitoneum. Once torsion occurs, it causes acute abdominal pain and can even lead to serious consequences such as gangrene, peritonitis, haemoperitoneum and shock if not identified and treated promptly. Therefore, a better understanding of the characteristics of RL torsion is needed. Here, we present a case of acute pedicle torsion of an RL in the posterior peritoneum followed by a literature review. CASE SUMMARY Herein, we report the case of a 42-year-old woman with RL torsion. The patient visited our hospital complaining of lower abdominal pain for 6 d. Pelvic examination revealed a tender mass superior to the uterus. Pelvic MRI revealed an anterior uterine mass, multiple uterine fibroids and slight pelvic effusion. MRI suggested the possibility of a subserosal myoma of the anterior uterine wall with degeneration. Intraoperative exploration revealed a 10 cm pedunculated mass arising from the posterior peritoneum, with the pedicle torsed two times. Pathological examination confirmed a torsed RL. CONCLUSION In the case of a pelvic mass complicated with acute abdomen, the possibility of torsion should be considered.

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Section: Discussionmentioning

confidence: 99%