Small bowel volvulus due to torsion of pedunculated uterine leiomyoma: CT findings

Abstract Torsion of a uterine leiomyoma is a rare complication that can be life threatening because of ischemia or necrosis. This condition may also lead to gastrointestinal complications such as obstruction or, more rarely, small bowel volvulus. Its diagnosis is difficult and can be facilitated wit...

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Bibliographic Details
Published in:Clinical imaging 2017-01, Vol.41, p.11-13
Main Authors: Guglielmo, Nicola, Malgras, Brice, PLACE, Vinciane, Guerrache, Youcef, Pautrat, Karine, Pocard, Marc, Soyer, Philippe
Format: Article
Language:English
Subjects:
Abdomen
Computer aided tomography
Diagnosis
Diagnosis, Differential
Emergencies
Female
Fibroids
Gangrene
Humans
Hysterectomy
Imaging
Intestinal Volvulus - diagnostic imaging
Intestinal Volvulus - etiology
Intestinal Volvulus - surgery
Intestine, Small - diagnostic imaging
Intestine, Small - surgery
Ischemia
Leiomyoma
Leiomyoma - complications
Leiomyoma - diagnostic imaging
Magnetic resonance imaging
Middle Aged
NMR
Nuclear magnetic resonance
Obstructions
Radiology
Small bowel
Tomography, X-Ray Computed - methods
Torsion
Torsion Abnormality - complications
Torsion Abnormality - diagnostic imaging
Torsion Abnormality - surgery
Ultrasonic imaging
Uterine
Volvulus
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Description
Summary:Abstract Torsion of a uterine leiomyoma is a rare complication that can be life threatening because of ischemia or necrosis. This condition may also lead to gastrointestinal complications such as obstruction or, more rarely, small bowel volvulus. Its diagnosis is difficult and can be facilitated with the use of computed tomography (CT) or magnetic resonance imaging (MRI). Treatment is based on emergency surgical resection of the twisted uterine leiomyoma and detorsion of the small bowel volvulus.
ISSN:0899-7071
1873-4499
DOI:10.1016/j.clinimag.2016.09.009