International Research Journal of Public and Environmental Health
Vol.4 (6),pp. 132-135, July 2017
Available online at https://www.journalissues.org/IRJPEH/
Article 17/ID/JPRH039/04 pages
Author(s) agree that this article remain permanently open access under the terms of the Creative Commons Attribution License 4.0 International License.
Twisted pedunculated subserosal uterine leiomyoma, a rare disease
Ioannis K. Thanasas*1, Konstantina Balafa1, Tilemachos Karalis1 and Ioannis Ikonomou1
1Department of Obstetrics – Gynecology of General Hospital in Trikala, Trikala, Greece
*Corresponding Author E- Mail: thanasasg(at)hotmail.com
This case report is about the surgical treatment of a patient with twisted pedunculated subserosal uterine fibroid. A patient in reproductive age visited our emergency department with acute abdominal pain. Mostly physical examination and laboratory tests and less abdominal ultrasonography put the suspicion of a twisted adnexal mass and the patient underwent emergency laparotomy. Intraoperative, a solid pedunculated subserosal uterine mass with total necrosis was found and excision of the necrotic tissue was performed. Histological examination of the surgical specimen confirmed the diagnosis of twisted pedunculated subserosal uterine fibroid. After a 5 day hospitalization and a smooth postoperative course the patient was discharged of our clinic. In this paper a literature review of the diagnosis and treatment of this rare disease based on current data is discussed.
Key words: Subserosal fibroid, twisted, diagnosis, treatment.