J Menopausal Med.  2013 Dec;19(3):147-150. 10.6118/jmm.2013.19.3.147.

A Case of Torsion of a Subserosal Leiomyoma

• Kim HG
• Song YJ
• Na YJ
• Choi OH

• KMID: 1939540
• DOI: http://doi.org/10.6118/jmm.2013.19.3.147

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.

Keyword

Leiomyoma; Torsion abnormality; Uterine neoplasms

MeSH Terms

Laparoscopy
Leiomyoma*
Torsion Abnormality
Ultrasonography
Uterine Neoplasms

Figure

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  Fig. 1 Transvaginal ultrasonography shows a solid mass with heterogenous echogenicity behind the uterine corpus.

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  Fig. 2 Pelvic magnetic resonance imaging show moderately enhanced uterine corpus connected to a non-enhanced pelvic mass by a thin pedicle (arrow) with a small amount of ascites.

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  Fig. 3 A dark blue subserosal leiomyoma, approximately 8 cm in size, was identified on a twisted pedicle to the posterior surface of the uterus.

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