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Imaging findings of a torsed pedunculated uterine leiomyoma: A case report.
Radiol Case Rep. 2020 Feb; 15(2):144-149.RC

Abstract

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.

Authors+Show Affiliations

Eastern Virginia Medical School, P.O. Box 1980, Norfolk, VA 23501, USA.Department of Radiology, Eastern Virginia Medical School, P.O. Box 1980, Norfolk, VA 23501, USA.Department of Radiology, Eastern Virginia Medical School, P.O. Box 1980, Norfolk, VA 23501, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31827661

Citation

Le, David, et al. "Imaging Findings of a Torsed Pedunculated Uterine Leiomyoma: a Case Report." Radiology Case Reports, vol. 15, no. 2, 2020, pp. 144-149.
Le D, Dey CB, Byun K. Imaging findings of a torsed pedunculated uterine leiomyoma: A case report. Radiology case reports. 2020;15(2):144-149.
Le, D., Dey, C. B., & Byun, K. (2020). Imaging findings of a torsed pedunculated uterine leiomyoma: A case report. Radiology Case Reports, 15(2), 144-149. https://doi.org/10.1016/j.radcr.2019.11.001
Le D, Dey CB, Byun K. Imaging Findings of a Torsed Pedunculated Uterine Leiomyoma: a Case Report. Radiology case reports. 2020;15(2):144-149. PubMed PMID: 31827661.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Imaging findings of a torsed pedunculated uterine leiomyoma: A case report. AU - Le,David, AU - Dey,Courtney B, AU - Byun,Kathy, Y1 - 2019/11/28/ PY - 2019/09/27/received PY - 2019/10/29/revised PY - 2019/11/03/accepted PY - 2019/12/13/entrez PY - 2019/12/13/pubmed PY - 2019/12/13/medline KW - Computed tomography KW - Gynecology KW - Leiomyoma KW - Pedunculated KW - Torsion KW - Ultrasound SP - 144 EP - 149 JF - Radiology case reports VL - 15 IS - 2 N2 - 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. SN - 1930-0433 UR - https://www.unboundmedicine.com/medline/citation/31827661/Imaging_findings_of_a_torsed_pedunculated_uterine_leiomyoma:_A_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1930-0433(19)30362-0 DB - PRIME DP - Unbound Medicine ER -
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