Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman
| Autor: | Katherine Jane Chua, Joyce Varughese, Ricky D. Patel, Armina Eana |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Torsion Abnormality Necrosis Uterine fibroids Uterus Salpingo-oophorectomy 030105 genetics & heredity Hysterectomy 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Uterine torsion Medicine Frozen Sections Humans Aged Ultrasonography Uterine Diseases Frozen section procedure Leiomyoma business.industry Torsion (gastropod) General Medicine medicine.disease Abdominal Pain body regions Postmenopause medicine.anatomical_structure Treatment Outcome Fundus (uterus) Adnexal Diseases Female Radiology medicine.symptom business 030217 neurology & neurosurgery Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Uterine torsion is an uncommon entity that is defined as a rotation of greater than 45° around the longitudinal axis of the uterus. Although cases of uterine torsion among pregnant patients have been mentioned in the literature, torsion of a non-gravid uterus is a rare occurrence. A 73-year-old nulliparous woman with a known fibroid uterus underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy with frozen section of a 17–18 cm pelvic mass seen on CT imaging. The source of the pelvic mass was unclear on imaging, and benign and malignant possibilities were discussed. During the procedure, necrosis of the uterine fundus and bilateral adnexa were seen due to the fundus being torsed with the uterine fibroid being the pivot point. Uterine torsion, though rare, can be the cause of acute pelvic pain in a postmenopausal woman. |
| Databáze: | OpenAIRE |
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