Dr. Milica Glusac
General Hospital Niksic Montenegro, Serbia
Title: A RARE CASE OF TORSION OF A SUBSEROSAL MYOMA IN A POSTMENOPAUSAL WOMAN ASSOCIATED WITH TORSION OF THE UTERUS IN THE ISTHMUS LEVEL
Biography
Biography: Dr. Milica Glusac
Abstract
Torsion of a subserosal myoma is a rare surgical emergency that is infrequently diagnosed preoperatively.
The first reported case of the acute abdomen causing by torsion of uterine subserosal myoma was in 1952 Tordera and others. Since than till today it was described in literature less than 50 cases of torsion myoma in non pregnant women.
I present a rare case torsion of subserosal myoma in the fundus uteri for the 720 degrees and torsion uteri in the isthmus level for the 180 degrees in a postmenopausal woman. A 61- year old woman admitted in department of gynecology General Hospital Niksic in February 2017 with suddenly onset severe abdominal pain with a few hours duration. She also complained to nausea and cold sweating . After clinical and ultrasound examination preoperative diagnosis was : Abdomen acutum. Myoma uteri subserosum torquatum. Virgo intacta. Postmenopausis. She underwent laparatomy and was found to have complete necrotic subserosal myoma sized about 10 cm in the fundus uteri with torsion about 720 degrees and necrotic small uterus with torsion at the level of the isthmus for 180 degrees. Total hysterectomy with adnexectomy lat.sin.was done. Postoperative recovery was regular and she went home the day fourth after operation. In conclusion torsion of myoma uteri is an extremely rare condition .Most cases were diagnosed intraoperatively.My case is case with a preoperative diagnosis based only on clinical and ultrasound examinations.