Torsion of the uterus with myomas in a postmenopausal woman – case study and review of the literature
| Autor: | Wacław Sikora, Dobrosława L. Sikora-Szczęśniak, Tomasz Łęgowik, Grzegorz Szczęśniak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Hysterectomy Salpingoophorectomy business.industry Endocrinology Diabetes and Metabolism medicine.medical_treatment surgical treatment lcsh:R Uterus Torsion (gastropod) Obstetrics and Gynecology lcsh:Medicine Case Report uterine torsion Abdominal cavity Surgery uterine myomas medicine.anatomical_structure Laparotomy Uterine torsion Ligament medicine business |
| Zdroj: | Menopause Review, Vol 13, Iss 2, Pp 145-149 (2014) Przegla̜d Menopauzalny = Menopause Review |
| ISSN: | 2299-0038 1643-8876 |
| Popis: | Introduction : Torsion of the uterus is defined as a rotation of more than 45° around the long axis of the uterus; 2/3 of cases are dextrorotations. The extent of rotation usually ranges from 45° to 180°. Objective: The purpose of the article was to present a case study of a postmenopausal woman with uterine torsion and myomas and to review the articles discussing the problem of rotated non-pregnant uterus. Material and methods : The article analyses the course of an extremely uncommon pathology, i.e. uterine torsion in a 67-year-old patient. Laparotomy exposed the uterus with myomas and numerous hemorrhages, rotated by 180° to the right side, size of 350 × 300 × 200 mm and bilateral necrosis of the ovaries. Moreover, we present a review of articles discussing surgical management in case of rotated non-pregnant uterus. Results and discussion: The patient was operated on by a team of gynecologists and surgeons. The uterus was derotated and total hysterectomy with salpingoophorectomy was performed. A fragment of the hepatic oval ligament was excised and periumbilical hernioplasty was performed. The patient was released home on the 10th day following the operation. Conclusions : If women complain of pain located within the small pelvis and abdominal cavity it is necessary to remember that it might result from the torsion of reproductive organs which is an uncommon condition but poses a health or life threat to patients. Surgical treatment of uterine torsion is successful if promptly implemented; in certain cases it is even possible to spare the patient’s fertility. |
| Databáze: | OpenAIRE |
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