We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Successful management of preoperatively diagnosed torsion of a subserosal uterine fibroid by pneumoperitoneum laparoscopic single-port surgery.
- Authors
Yuta Endo; Toshifumi Takahashi; Tamaki Matsumiya; Kaoru Fukuda; Makiko Ueda; Aya Owada; Shinji Nomura; Kuniaki Ota; Satoshi Hashimoto; Shu Soeda; Yasuhisa Nomura; Keiya Fujimori; Mikio Tanaka
- Abstract
Objective : Preoperative diagnosis and successful management of acute torsion of a subserosal fibroid by using appropriate imaging modalities and single-port laparoscopic surgery. Case report : A 44-year-old nulliparous woman presented with lower abdominal pain. Computed tomography and magnetic resonance imaging with contrast enhancement revealed a tumor in the pouch of Douglas with a low contrast at the center and thin-rim enhancement. Torsion of a uterine subserosal fibroid was diagnosed preoperatively. Laparoscopic single-port surgery by pneumoperitoneum was performed. Torsion of the pedicle attached to the uterine wall was excised by bipolar coagulation and cut with scissors. The extirpated fibroid was extracted from the umbilical wound. The pneumoperitoneum single-port laparoscopic surgery was completed as a gynecologic emergency operation. Conclusion : Torsional uterine fibroids are difficult to diagnose preoperatively as symptoms are nonspecific and need emergent surgical management as an acute abdomen. Preoperative diagnosis using appropriate imaging modalities is important to perform single-port laparoscopic surgery.
- Subjects
UTERINE fibroids; PNEUMOPERITONEUM; LAPAROSCOPIC surgery; PREOPERATIVE period; MYOMECTOMY
- Publication
Fukushima Journal of Medical Science, 2019, Vol 65, Issue 3, p128
- ISSN
0016-2590
- Publication type
Case Study
- DOI
10.5387/fms.2019-18