English

Abstract

Torsion due to fibromatous uterus is a very rare entity. Worldwide there are only a few references. This case is 138 th case of uterine torsion due to fibroid as per literature. A case of huge fibromatous uterus weighing 4 kg undergone axial torsion through 360 degrees to the right, diagnosed at laparotomy, in a 63 years aged woman with the clinical symptoms of bleeding pv and abdominal pain for 4 days duration. Examination of the abdomen revealed a non-tender, mobile mass of size 20 x 17 cm, firm in consistency, arising from pelvis, corresponding to 32 weeks gravid uterus. Ultrasound examination of abdomen and pelvis showed fibroid picture and the patient treated by total abdominal hysterectomy with bilateral salpingo-oophorectomy. At operation, there was a 360 degree clockwise twisting of the uterine mass at the level of cervical isthmus, carrying with it both tubes and ovaries. The uterus was filled with huge intramural fibroid and the specimen sent for histo-pathological examination was proved to be fibroleiomyoma. Torsion of non-pregnant uterus due to fibroid alone is extremely rare and hence this case reported for its rarity.