Painless Ovarian Torsion Mimicking a Uterine Myoma
Objective: Uterine myoma is the most common benign solid pelvic tumor seen in women and is easily demonstrated by pelvic ultrasonography. However, a chronic ovarian torsion with entire necrosis may be an exceptional mimicker. We herein present an unusual case of painless ovarian torsion similar to a...
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| Format: | Article |
| Language: | English |
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Elsevier
2006-12-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455909602564 |
| _version_ | 1818153753902055424 |
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| author | Cheng-Kuo Lin Ta-Wei Chu Mu-Hsien Yu |
| author_facet | Cheng-Kuo Lin Ta-Wei Chu Mu-Hsien Yu |
| author_sort | Cheng-Kuo Lin |
| collection | DOAJ |
| description | Objective: Uterine myoma is the most common benign solid pelvic tumor seen in women and is easily demonstrated by pelvic ultrasonography. However, a chronic ovarian torsion with entire necrosis may be an exceptional mimicker. We herein present an unusual case of painless ovarian torsion similar to a subserous uterine myoma.
Case Report: A 35-year-old female virgin presented with a palpable midline pelvic mass that had been present for 2 months. Ultrasound revealed a well-defined, heterogeneous solid mass with echogenic rim that resembled a uterine myoma, 10.9 × 9.9 × 7.3 cm in size, just upon the uterus. Surgical exploration disclosed an enlarged stony ovary and swollen tube that were both twisted. The ovary was clogged up with red meat-like necrotic tissue. The pathologic findings were compatible with ovarian torsion, and subsequent infarction and necrosis.
Conclusion: Ovarian torsion is a significant cause of acute lower abdominal pain in women and is a gynecologic surgical emergency. Nevertheless, surgical strategies are usually impeded because of ambiguous warning signs. Clinicians may be misled by certain conditions such as silent ovarian torsion. Although there may be no specific indication, the diagnosis of ovarian torsion should be considered on finding a pelvic mass. |
| first_indexed | 2024-12-11T14:15:38Z |
| format | Article |
| id | doaj.art-14faa39ef2f8436d919ace353d35b5cc |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-11T14:15:38Z |
| publishDate | 2006-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-14faa39ef2f8436d919ace353d35b5cc2022-12-22T01:03:10ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592006-12-0145434034210.1016/S1028-4559(09)60256-4Painless Ovarian Torsion Mimicking a Uterine MyomaCheng-Kuo Lin0Ta-Wei Chu1Mu-Hsien Yu2Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Armed Forces Tao-Yuan General Hospital, Tao-Yuan, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanObjective: Uterine myoma is the most common benign solid pelvic tumor seen in women and is easily demonstrated by pelvic ultrasonography. However, a chronic ovarian torsion with entire necrosis may be an exceptional mimicker. We herein present an unusual case of painless ovarian torsion similar to a subserous uterine myoma. Case Report: A 35-year-old female virgin presented with a palpable midline pelvic mass that had been present for 2 months. Ultrasound revealed a well-defined, heterogeneous solid mass with echogenic rim that resembled a uterine myoma, 10.9 × 9.9 × 7.3 cm in size, just upon the uterus. Surgical exploration disclosed an enlarged stony ovary and swollen tube that were both twisted. The ovary was clogged up with red meat-like necrotic tissue. The pathologic findings were compatible with ovarian torsion, and subsequent infarction and necrosis. Conclusion: Ovarian torsion is a significant cause of acute lower abdominal pain in women and is a gynecologic surgical emergency. Nevertheless, surgical strategies are usually impeded because of ambiguous warning signs. Clinicians may be misled by certain conditions such as silent ovarian torsion. Although there may be no specific indication, the diagnosis of ovarian torsion should be considered on finding a pelvic mass.http://www.sciencedirect.com/science/article/pii/S1028455909602564painless ovarian torsionsubserous myomaultrasonography |
| spellingShingle | Cheng-Kuo Lin Ta-Wei Chu Mu-Hsien Yu Painless Ovarian Torsion Mimicking a Uterine Myoma Taiwanese Journal of Obstetrics & Gynecology painless ovarian torsion subserous myoma ultrasonography |
| title | Painless Ovarian Torsion Mimicking a Uterine Myoma |
| title_full | Painless Ovarian Torsion Mimicking a Uterine Myoma |
| title_fullStr | Painless Ovarian Torsion Mimicking a Uterine Myoma |
| title_full_unstemmed | Painless Ovarian Torsion Mimicking a Uterine Myoma |
| title_short | Painless Ovarian Torsion Mimicking a Uterine Myoma |
| title_sort | painless ovarian torsion mimicking a uterine myoma |
| topic | painless ovarian torsion subserous myoma ultrasonography |
| url | http://www.sciencedirect.com/science/article/pii/S1028455909602564 |
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