TORSION OF NON- GRAVID UTERUS:ACUTE ON CHRONIC PAIN ABDOMEN IN FIBROID UTERUS

Abstract

Torsion of non-gravid uterus is a rare condition. Clinical features are non-specic and the diagnosis is made at laparotomy. A 34 year old nulliparous woman , known case of broid uterus with chronic pain abdomen of 2 months duration, experienced sudden pain abdomen and vomiting of 2 days duration and she was provisionally diagnosed as red degeneration and managed conservatively. USG showed right cornual subserous broid of 7x7.2 cms with minimal blood ow and another 3.6x3.1 cm posterior wall intramural broid. Torsion of subserous broid was suspected and she was taken up for surgery. On opening the abdomen, the uterus was torted at isthmus by 180º in clock wise direction and the large subserous broid ≥ 15 cms was in POD . Detortion occurred while exteriorizing the broid and there were other multiple broids of type 7 to 2. Myomectomy was performed . Histopathology showed leiomyomas with extensive areas of infarction without any atypia.