Korean J Obstet Gynecol.  2008 Oct;51(10):1187-1191.

Torsion of the uterus with leiomyoma in postmenopausal woman

Affiliations
  • 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.

Keyword

Leiomyoma; Torsion; uterus; Postmenopause
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