Case Report Torsion of a huge subserosal uterine leiomyoma: A challenging case of acute abdomen

Mankirat S. Dhillon, Anju Garg, Apoorva Sehgal, Sangeeta Bhasin

About the author(s) Mankirat S. Dhillon, Department of Radiodiagnosis, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
Anju Garg, Department of Radiodiagnosis, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
Apoorva Sehgal, Department of Radiodiagnosis, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
Sangeeta Bhasin, Department of Obstetrics and Gynaecology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India

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Abstract

Torsion of a uterine leiomyoma is an extremely rare, albeit life-threatening surgical emergency. A 28-year-old woman presented with acute abdominal pain. Imaging revealed a torsed subserosal uterine leiomyoma which was managed surgically and the diagnosis confirmed intraoperatively as well as on histopathology.

Contribution: While intraoperative findings remain the primary means of diagnosis, radiologists should be familiar with the potential imaging findings of leiomyoma torsion as timely intervention can greatly improve patient outcome.

Keywords

subserosal; uterine leiomyoma; fibroid; pedunculated fibroid; torsion; ultrasound; magnetic resonance imaging; acute abdomen

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