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Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease.
Taiwan J Obstet Gynecol. 2018 Apr; 57(2):300-303.TJ

Abstract

OBJECTIVE

To evaluate the clinical presentations, diagnosis, management, and outcomes of torsion of the pedunculated subserous uterine leiomyoma.

MATERIALS AND METHODS

We retrospectively reviewed medical records of patients with subserous uterine leiomyomas undergoing surgeries at National Taiwan University Hospital from January 2001 to December 2015.

RESULTS

Five cases of torsion of pedunculated subserous uterine leiomyoma were identified. All presented with sudden onset abdominal pain. Two patients received emergent surgeries, the other three cases received scheduled surgeries. The postoperative courses of these five women were uneventful without sequelae.

CONCLUSIONS

Torsion of pedunculated subserous uterine leiomyoma is rare. Accurately diagnosing it prior to surgery is a major challenge. It should be one of the differential diagnosis in patients with uterine leiomyoma presenting with acute abdomen.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, Taiwan.Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu City, Taiwan.Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, Taiwan.Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, Taiwan; Graduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address: wenfangcheng@yahoo.com.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29673677

Citation

Lai, Yen-Ling, et al. "Torsion of Pedunculated Subserous Uterine Leiomyoma: a Rare Complication of a Common Disease." Taiwanese Journal of Obstetrics & Gynecology, vol. 57, no. 2, 2018, pp. 300-303.
Lai YL, Chen YL, Chen CA, et al. Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease. Taiwan J Obstet Gynecol. 2018;57(2):300-303.
Lai, Y. L., Chen, Y. L., Chen, C. A., & Cheng, W. F. (2018). Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease. Taiwanese Journal of Obstetrics & Gynecology, 57(2), 300-303. https://doi.org/10.1016/j.tjog.2018.02.021
Lai YL, et al. Torsion of Pedunculated Subserous Uterine Leiomyoma: a Rare Complication of a Common Disease. Taiwan J Obstet Gynecol. 2018;57(2):300-303. PubMed PMID: 29673677.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease. AU - Lai,Yen-Ling, AU - Chen,Yu-Li, AU - Chen,Chi-An, AU - Cheng,Wen-Fang, PY - 2017/07/18/accepted PY - 2018/4/21/entrez PY - 2018/4/21/pubmed PY - 2018/10/3/medline KW - Abdominal pain KW - Emergency KW - Myomectomy KW - Subserous leiomyoma KW - Torsion SP - 300 EP - 303 JF - Taiwanese journal of obstetrics & gynecology JO - Taiwan J Obstet Gynecol VL - 57 IS - 2 N2 - OBJECTIVE: To evaluate the clinical presentations, diagnosis, management, and outcomes of torsion of the pedunculated subserous uterine leiomyoma. MATERIALS AND METHODS: We retrospectively reviewed medical records of patients with subserous uterine leiomyomas undergoing surgeries at National Taiwan University Hospital from January 2001 to December 2015. RESULTS: Five cases of torsion of pedunculated subserous uterine leiomyoma were identified. All presented with sudden onset abdominal pain. Two patients received emergent surgeries, the other three cases received scheduled surgeries. The postoperative courses of these five women were uneventful without sequelae. CONCLUSIONS: Torsion of pedunculated subserous uterine leiomyoma is rare. Accurately diagnosing it prior to surgery is a major challenge. It should be one of the differential diagnosis in patients with uterine leiomyoma presenting with acute abdomen. SN - 1875-6263 UR - https://www.unboundmedicine.com/medline/citation/29673677/Torsion_of_pedunculated_subserous_uterine_leiomyoma:_A_rare_complication_of_a_common_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1028-4559(18)30039-1 DB - PRIME DP - Unbound Medicine ER -