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A Case Report of Uterine Torsion in a Postmenopausal Female with a Large Leiomyoma.
- Source :
-
Journal of radiology case reports [J Radiol Case Rep] 2024 Jun 01; Vol. 18 (1), pp. 1-7. Date of Electronic Publication: 2024 Jun 01 (Print Publication: 2024). - Publication Year :
- 2024
-
Abstract
- This case report discusses a diagnosis of uterine torsion in an 84-year-old woman who presented with five days of right lower quadrant abdominal pain, nausea, vomiting, constipation, and poor intake. Computed tomography (CT) imaging demonstrated a whorled configuration at the junction of the cervix and lower uterine segment, with the left gonadal vein crossing midline, and two previously known right leiomyomas now appearing on the left. These findings were consistent with the diagnosis of uterine torsion. She then underwent an urgent exploratory laparotomy, and the uterus was found to be dextroverted 270 degrees, with dark mottled purple tissue and engorged vessels. A supracervical hysterectomy and bilateral salpingo-oopherectomy were performed. Final pathology demonstrated extensive necrosis. This case reviews the classic presentation and imaging findings for the rare diagnosis of uterine torsion and options for management of both non-gravid and gravid patients.<br /> (Copyright Journal of Radiology Case Reports.)
- Subjects :
- Humans
Female
Aged, 80 and over
Uterine Diseases diagnostic imaging
Uterine Diseases surgery
Uterine Diseases pathology
Hysterectomy
Diagnosis, Differential
Leiomyoma surgery
Leiomyoma diagnostic imaging
Leiomyoma complications
Leiomyoma pathology
Torsion Abnormality diagnostic imaging
Torsion Abnormality surgery
Uterine Neoplasms diagnostic imaging
Uterine Neoplasms surgery
Uterine Neoplasms complications
Uterine Neoplasms pathology
Postmenopause
Tomography, X-Ray Computed
Subjects
Details
- Language :
- English
- ISSN :
- 1943-0922
- Volume :
- 18
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of radiology case reports
- Publication Type :
- Academic Journal
- Accession number :
- 38910588
- Full Text :
- https://doi.org/10.3941/jrcr.v18i1.5035