Korean J Obstet Gynecol.  2011 Oct;54(10):647-650. 10.5468/KJOG.2011.54.10.647.

A case of torsion of a pedunculated subserosal uterine leiomyoma accompanied with acute gastroenteritis: A possible diagnostic pitfall

• Han JH
• Jung EY
• Jeon SY
• Park HY
• Jeong NH
• Lee BY

• KMID: 1836755
• DOI: http://doi.org/10.5468/KJOG.2011.54.10.647

Abstract

A literature search on acute abdomen caused by a leiomyoma does not yield many specific reports of myoma-related complications or the presenting features. We describe a case of torsion of a pedunculated subserosal uterine leiomyoma in a 25-year-old virgin female who noticed lower abdominal pain with severe diarrhea, which was assumed to be typical acute gastroenteritis undoubtedly. Awareness of the condition and a high index of suspicion are keys to early diagnosis and prompt intervention. A description of unique clinical features and radiologic evaluation is discussed.

Keyword

Leiomyoma; Uterus; Torsion; Abdominal pain; Gastroenteritis

MeSH Terms

Abdomen, Acute
Abdominal Pain
Adult
Diarrhea
Early Diagnosis
Female
Gastroenteritis
Humans
Leiomyoma
Uterus