Torsion of a huge subserosal uterine leiomyoma: A challenging case of acute abdomen

Abstract

Torsion of a uterine leiomyoma is an extremely rare, albeit life-threatening surgical emergency. A 28-year-old woman presented with acute abdominal pain. Imaging revealed a torsed subserosal uterine leiomyoma which was managed surgically and the diagnosis confirmed intraoperatively as well as on histopathology. Contribution: While intraoperative findings remain the primary means of diagnosis, radiologists should be familiar with the potential imaging findings of leiomyoma torsion as timely intervention can greatly improve patient outcome.

Keywords

• subserosal
• uterine leiomyoma
• fibroid
• pedunculated fibroid
• torsion
• ultrasound
• magnetic resonance imaging
• acute abdomen