The twisted uterus: A rare presentation of uterine torsion

Abstract

Introduction: Uterine torsion is a rare gynecological emergency, defined as torsion of the uterus greater than 45° around its axis. Case reports describe torsion either in the gravid uterus or in postmenopausal women, yet rarely in the non-gravid, premenopausal uterus. This report describes the case of uterine torsion secondary to a large pedunculated fibroid in a 34-year-old nulliparous woman. Case Report:The patient presented with sudden onset of severe left sided abdominal pain which started during mild exertion. On examination she had a tender uterus which was enlarged secondary to a known large pedunculated fibroid. A planned myomectomy had been delayed due to the COVID-19 pandemic. Her pain worsened and therefore she was admitted with a working diagnosis of either torsion of the pedunculated fibroid or fibroid degeneration. A magnetic resonance imaging