Torsion of a large pedunculated subserosal fibroid led to ovarian torsion and ipsilateral hydroureteronephrosis

Q4 Medicine Radiology Case Reports Pub Date : 2025-04-01 Epub Date: 2025-01-15 DOI:10.1016/j.radcr.2024.12.014
Siham Oukassem , Wafae Khatibi , Chaimae Abourak , Siham El Haddad , Allali Nazik , Latifa Chat , Salma Tahri , Khalid Fathi , Fatima Elhassouni
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Abstract

Torsion of uterine leiomyoma is a rare, albeit life-threatening surgical emergency. A 55-year-old woman presented with right iliac fossa pain persisting for the past 15 days, accompanied by nausea and vomiting. Imaging revealed a torsed subserosal pedunculated uterine leiomyoma, which caused ovarian torsion and ipsilateral ureterohydronephrosis. The case was managed surgically, and the diagnosis confirmed intraoperatively as well as through histopathology.

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大带蒂浆膜下肌瘤扭转导致卵巢扭转和同侧输尿管积水。
子宫肌瘤扭转是一种罕见但危及生命的外科急症。55岁女性,右髂窝疼痛持续15天,伴有恶心和呕吐。影像显示一个扭转的浆膜下带蒂子宫平滑肌瘤,引起卵巢扭转和同侧输尿管肾积水。该病例经手术处理,并通过术中及组织病理学确诊。
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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