Torsion of Fallopian Tube Leiomyoma Treated by Laparoscopically-Assisted Approach: Case Report

Abstract

Leiomyomas of the Fallopian tube are rare and their correct diagnosis is extremely difficult. A 39-year-old woman presented with lower abdominal pain. Magnetic resonance imaging revealed a solid extrauterine mass 12 cm in diameter with an area of decreased enhancement. Our preoperative diagnosis was torsion of a subserosal uterine leiomyoma.Laparoscopic surgery was performed and the tumor was found to have originated from the isthmus of the left Fallopian tube. A laparoscopic left salpingectomy was performed. Her postoperative course was uneventful. The final pathology report noted a primary tubal leiomyoma with ischemic changes. We report a case of torsion of a tubal leiomyoma, which was successfully managed laparoscopically.

Leiomyoma and leiomyoma cellulare of the fallopian tube: review of the literature and case reports

“…That is what exactly happened in the presented case when it was necessary to convert laparoscopy into minilaparotomy. Similar decisions were taken in other presented cases, too [16, 19]. …”

“…Moreover, torsion of leiomyomas of the fallopian tube and degeneration were also reported [13–15, 19, 24]. …”

“…In the above-presented cases, preoperative diagnosis considered mesenteric tumor, abdominal tumor, tumor of the pelvis minor, bleeding to the peritoneal cavity, torsion of the subserosal uterine leiomyoma [13, 14, 17, 19, 21]. …”