Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease
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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-04-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455918300391 |
| _version_ | 1818581210924843008 |
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| author | Yen-Ling Lai Yu-Li Chen Chi-An Chen Wen-Fang Cheng |
| author_facet | Yen-Ling Lai Yu-Li Chen Chi-An Chen Wen-Fang Cheng |
| author_sort | Yen-Ling Lai |
| collection | DOAJ |
| description | 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. Keywords: Abdominal pain, Emergency, Myomectomy, Subserous leiomyoma, Torsion |
| first_indexed | 2024-12-16T07:29:53Z |
| format | Article |
| id | doaj.art-bea594bb0d3f444dbba12177b2886b54 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-16T07:29:53Z |
| publishDate | 2018-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-bea594bb0d3f444dbba12177b2886b542022-12-21T22:39:23ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592018-04-01572300303Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common diseaseYen-Ling Lai0Yu-Li Chen1Chi-An Chen2Wen-Fang Cheng3Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment 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, TaiwanDepartment of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment 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; Corresponding author. Department of Obstetrics and Gynecology National Taiwan University Hospital, Taipei, Taiwan. Fax: +886 2 23114965.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. Keywords: Abdominal pain, Emergency, Myomectomy, Subserous leiomyoma, Torsionhttp://www.sciencedirect.com/science/article/pii/S1028455918300391 |
| spellingShingle | Yen-Ling Lai Yu-Li Chen Chi-An Chen Wen-Fang Cheng Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease Taiwanese Journal of Obstetrics & Gynecology |
| title | Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease |
| title_full | Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease |
| title_fullStr | Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease |
| title_full_unstemmed | Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease |
| title_short | Torsion of pedunculated subserous uterine leiomyoma: A rare complication of a common disease |
| title_sort | torsion of pedunculated subserous uterine leiomyoma a rare complication of a common disease |
| url | http://www.sciencedirect.com/science/article/pii/S1028455918300391 |
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