Torsion of an iatrogenic parasitic fibroid related to power morcellation for specimen retrieval.

Autor: Narasimhulu, Deepa Maheswari, Eugene, Ellis, Sumit, Saraf
Předmět:
Zdroj: Journal of the Turkish-German Gynecological Association; Dec2015, Vol. 16 Issue 4, p259-262, 4p, 4 Color Photographs, 1 Chart
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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index