Year: 2025
Type: article
Study design: Case Report
Abstract: Uterine torsion is a rare and difficult condition that is most commonly encountered in pregnant women, but it can also affect non-pregnant patients. We report a case of uterine torsion accompanied by bilateral ovarian torsion, associated with a large pedunculated subserosal fibroid, in a non-gravid patient who had previously undergone caesarean section following an in vitro fertilization (IVF) procedure. The patient complained of acute pelvic-abdominal pain, vomiting and lower back pain, which worsened over the course of one week. Diagnostic imaging, including contrast-enhanced CT and ultrasound, revealed a giant cystic pelvic mass with vascularization, which initially suggested an ovarian origin. However, urgent laparotomy revealed a 25-cm fibroid with extensive necrosis and torsion. A total hysterectomy with bilateral adnexectomy was performed. The histopathological analysis confirmed a pedunculated subserosal uterine leiomyoma with ischemic necrosis and cystic transformation. Postoperatively, the patient recovered well, and she was discharged after four days. This case highlights the importance of considering uterine torsion in the differential diagnosis of pelvic masses, particularly when associated with large fibroids.
Source: Ginecologia ro
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412809158