Small bowel volvulus due to torsion of pedunculated uterine leiomyoma: CT findings

Guglielmo, Nicola; Malgras, Brice; Placé, Vinciane; Guerrache, Youcef; Pautrat, Karine; Pocard, Marc; Soyer, Philippe

doi:10.1016/j.clinimag.2016.09.009

Cited by 5 publications

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Torsion of a pedunculated fibroid resulting in an acute abdomen requires immediate surgical intervention, as prolonged torsion can result in ischemic gangrene and resulting peritonitis [6]. Additionally, there has been a report of associated small bowel volvulus [2]. Management of leiomyoma torsion is with laparoscopic myomectomy, even in the case of first trimester obstetric patients, where the complications associated with untreated fibroid torsion outweigh the risk of obstetric operation [3,10].…”

Section: Discussionmentioning

confidence: 99%

Imaging findings of a torsed pedunculated uterine leiomyoma: A case report

Dey

Byun

2020

Radiology Case Reports

View full text Add to dashboard Cite

Torsion of a pedunculated uterine leiomyoma is an incredibly rare occurrence, considered a surgical emergency due to the risk of ischemic gangrene and resulting reactive peritonitis. Imaging modalities have traditionally played a limited role in evaluation of leiomyoma torsion due to modest sensitivity and specificity. We present the case of a 58-year old female with a known pedunculated fibroid who presented with acute abdominal pain. Computed tomography and ultrasound findings suggested a preoperative diagnosis of leiomyoma torsion, confirmed intraoperatively. While direct visualization at surgery remain the primary means of diagnosis of pedunculated fibroid torsion, familiarity of potential imaging findings in conjunction with the clinical presentation may enable the interpreting radiologist to consider this entity in the differential prospectively.

show abstract

Section: Discussionmentioning

confidence: 99%

Imaging findings of a torsed pedunculated uterine leiomyoma: A case report

Dey

Byun

2020

Radiology Case Reports

View full text Add to dashboard Cite

show abstract

“…There are risk factors of torsion of pediculated fibroid: mentioned are: the weight of the fibroid, the length of the pedicle, the softening of the fibroid during pregnancy [3,11]. In addition, pediculated fibroid being free in the peritoneal cavity, the peristalsis of the digestive handles could participate to the torsion [12].…”

Section: Discussionmentioning

confidence: 99%

“…The torsion of pediculated subserosal fibroid is already a complication, but it can be more complicated. The complications found in the literature are a volvulus of the small intestine [12,13]; an auto-amputation of the fibroid realizing a foreign body responsible for peritonitis [3]. Once the diagnosis is established, support is essentially surgical and is made in an emergency.…”

mentioning

confidence: 99%

Torsion of Uterine Fibroid: A Rare Cause of Acute Pelvic Pain: About One Case

Charles¹,

Kasse²,

Garba³

et al. 2017

Gynecol Obstet Case Rep

View full text Add to dashboard Cite

We report a case of torsion of a pedunculated uterine leiomyoma. A 34-year-old housewife has been received at gynaecological emergency department for acute pelvic pain in June 2016. A pelvic ultrasound revealed a uterine with a pedunculated mass. With a preoperative diagnosis of torsion of a pedunculated subserosal leiomyoma, the patient underwent a myomectomy. In conclusion, torsion of a pedunculated uterine myoma is rare but represents a surgical emergency.

show abstract

“…8 Furthermore, severe acute uterine torsion can lead to placental abruption 9 and intrauterine fetal death. [10][11][12]…”

Section: Clinical Manifestations Of Uterine Torsion During Gestationmentioning

confidence: 99%

Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature

et al. 2020

View full text Add to dashboard Cite

This study was performed to describe the clinical features, risk factors, and treatment methods of uterine torsion in pregnancy. The most common symptoms are abdominal pain, fetal heart rate changes, and failure of cervical dilatation and are often accompanied by complete or partial placental abruption. Preoperative diagnosis is challenging even with the use of ultrasound. Uterine torsion in the third trimester is correlated with the presence of multiple uterine fibroids. The causes of gravid uterine torsion vary and the clinical manifestations are nonspecific. Early diagnosis and improved detection approaches are the keys to treatment of patients with uterine torsion. However, the preoperative diagnosis remains difficult and the diagnosis is often made during cesarean section.

show abstract

Small bowel volvulus due to torsion of pedunculated uterine leiomyoma: CT findings

Cited by 5 publications

References 11 publications

Imaging findings of a torsed pedunculated uterine leiomyoma: A case report

Imaging findings of a torsed pedunculated uterine leiomyoma: A case report

Torsion of Uterine Fibroid: A Rare Cause of Acute Pelvic Pain: About One Case

Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature

Contact Info

Product

Resources

About