Torsion of the uterus with myomas in a postmenopausal woman - case study and review of the literature

Przegla̜d menopauzalny = Menopause review
Dobrosława Sikora-SzczęśniakWacław Sikora

Abstract

Torsion of the uterus is defined as a rotation of more than 45° around the long axis of the uterus; 2/3 of cases are dextrorotations. The extent of rotation usually ranges from 45° to 180°. The purpose of the article was to present a case study of a postmenopausal woman with uterine torsion and myomas and to review the articles discussing the problem of rotated non-pregnant uterus. The article analyses the course of an extremely uncommon pathology, i.e. uterine torsion in a 67-year-old patient. Laparotomy exposed the uterus with myomas and numerous hemorrhages, rotated by 180° to the right side, size of 350 × 300 × 200 mm and bilateral necrosis of the ovaries. Moreover, we present a review of articles discussing surgical management in case of rotated non-pregnant uterus. The patient was operated on by a team of gynecologists and surgeons. The uterus was derotated and total hysterectomy with salpingoophorectomy was performed. A fragment of the hepatic oval ligament was excised and periumbilical hernioplasty was performed. The patient was released home on the 10(th) day following the operation. If women complain of pain located within the small pelvis and abdominal cavity it is necessary to remember that it might result from the ...Continue Reading

Citations

Jun 21, 2019·BMJ Case Reports·Katherine Jane ChuaJoyce Varughese

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Methods Mentioned

BETA
hysterectomy
imaging techniques

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