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IK Thanasas
K Balafa
T Karalis
I Ikonomou

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IK Thanasas
K Balafa
T Karalis
I Ikonomou

International Research Journal of Public and Environmental Health
Vol.4 (6),pp. 132-135, July 2017
ISSN 2360-8803
Available online at
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.

Case Study

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)

date Received: June 1, 2017     date Accepted: July 3, 2017     date Published: July 10, 2017


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.

Thanasas et al