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Case Report
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Korean J Obstet Gynecol. 2008;51(10):1187-1191. Published online October 1, 2008.
- Torsion of the uterus with leiomyoma in postmenopausal woman.
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Jung Mi Byun, Dae Hoon Jeong, Yun Suk Lee, Young Nam Kim, Chul Hoi Jeong, Kyung Bok Lee, Ki Tae Kim
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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.
Keywords :Leiomyoma;Torsion;uterus;Postmenopause
