Uterine torsion

Case contributed by Dr Mahmoud Yacout Alabd

Presentation

Acute severe lower abdominal and pelvic pain.

Patient Data

Age: 35 years
Gender: Female
CT

Huge posterior uterine wall fibroid occupying the pelvis and most of the abdominal cavity. The uterus is seen twisted at the cervical and upper vaginal region with congested uterine vessels and fluid filled uterine cavity.

Photo

Peroperative images showing the site of torsion at the lower uterine segment and the excised fibroid. 

Case Discussion

Uterine torsion is very rare acute condition that is usually associated with increased uterine size or mass which can occur with pregnancy or pathologically with large uterine masses.

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Case information

rID: 44222
Published: 12th Apr 2016
Last edited: 17th Oct 2020
System: Gynaecology
Inclusion in quiz mode: Included