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Korean Journal of Obstetrics & Gynecology 2008;51(10):1187-1191.
Published online October 1, 2008.
Torsion of the uterus with leiomyoma in postmenopausal woman.
Jung Mi Byun, Dae Hoon Jeong, Yun Suk Lee, Young Nam Kim, Chul Hoi Jeong, Kyung Bok Lee, Ki Tae Kim
1Department of Obstetrics and Gynecology, College of Medicine, Inje University, Busan Paik Hospital, Busan, Korea. obgynjeong@hanmail.net
2Paik Institute for Clinical Research, College of Medicine, Inje University, Busan Paik Hospital, Busan, Korea.
3Department of Obstetrics and Gynecology, College of Medicine, Inje University,Dongrae Paik Hospital, Busan, Korea.
Abstract
Uterine torsion, which most often occurs during pregnancy, is rare. Torsion of a nongravid uterus is extremely rare and is associated with pelvic adhesions, uterine leiomyomas, or uterine anomalies. We experienced a case of uterine torsion, with a huge subserosal leiomyoma and multiple intramural leiomyomas, in a postmenopausal woman, one that showed the most extreme degree of rotation among the known cases of uterine torsion. Necrosis of the uterus and both adnexae was observed. A total abdominal hysterectomy with a bilateral salpingo-oophorectomy was performed. We present this case with a brief review of the relevant literature.
Key Words: Leiomyoma, Torsion, uterus, Postmenopause


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