Torsion of an iatrogenic parasitic fibroid related to power morcellation for specimen retrieval.
| Autor: | Narasimhulu DM; Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, United States., Eugene E; Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, United States., Sumit S; Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, United States. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the Turkish German Gynecological Association [J Turk Ger Gynecol Assoc] 2015 Nov 02; Vol. 16 (4), pp. 259-62. Date of Electronic Publication: 2015 Nov 02 (Print Publication: 2015). |
| DOI: | 10.5152/jtgga.2015.15093 |
| Abstrakt: | Parasitic fibroids are generally diagnosed incidentally at the time of surgery performed for symptomatic uterine fibroids. Torsion of a parasitic fibroid causing severe acute onset pain is extremely rare. We report a torsed parasitic fibroid in a patient who underwent hysterectomy using power morcellation for specimen retrieval. A 40-year-old patient with a history of laparoscopic supracervical hysterectomy 8 years prior presented with severe abdominal pain. She was diagnosed with degenerating parasitic fibroids on magnetic resonance imaging and was managed conservatively. Surgery was performed 3 days later for persistent pain, and the parasitic fibroid was found to have undergone torsion. Torsed ischemic fibroids can undergo necrosis and gangrene and can potentially cause life-threatening coagulopathy and peritonitis. Awareness of this potential complication will reduce errors in diagnosis and facilitate timely management. |
| Databáze: | MEDLINE |
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