Korean J Obstet Gynecol.
2008 Oct;51(10):1187-1191.
Torsion of the uterus with leiomyoma in postmenopausal woman
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, Inje University, Busan Paik Hospital, Busan, Korea. obgynjeong@hanmail.net
- 2Paik Institute for Clinical Research, College of Medicine, Inje University, Busan Paik Hospital, Busan, Korea.
- 3Department of Obstetrics and Gynecology, College of Medicine, Inje University,Dongrae Paik Hospital, Busan, Korea.
Abstract
- Uterine torsion, which most often occurs during pregnancy, is rare. Torsion of a nongravid uterus is extremely rare and is associated with pelvic adhesions, uterine leiomyomas, or uterine anomalies. We experienced a case of uterine torsion, with a huge subserosal leiomyoma and multiple intramural leiomyomas, in a postmenopausal woman, one that showed the most extreme degree of rotation among the known cases of uterine torsion. Necrosis of the uterus and both adnexae was observed. A total abdominal hysterectomy with a bilateral salpingo-oophorectomy was performed. We present this case with a brief review of the relevant literature.
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