Torsion of Pedunculated Subserous Myoma

Abstract

We report a case of torsion of a pedunculated uterine leiomyoma. A 56-year-old married Chinese female presented at the emergency department with complaints of severe lower abdominal pain on July 27, 2010. A transabdominal sonogram revealed multiple uterine masses, including a pedunculated mass. With a preoperative diagnosis of torsion of a pedunculated subserosal leiomyoma, the patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy. On gross inspection, the resected myoma was ischemic, and both focal hemorrhage and necrosis were noted in the pathology report. In conclusion, torsion of a pedunculated uterine myoma is rare but represents a surgical emergency to improve symptoms and avoid consumptive coagulopathy. J Med Cases. 2011;2(2):62-63 doi: https://doi.org/10.4021/jmc136w