Torsed retroperitoneal leiomyomas:A case report and review of literature  

作　　者：Jin Li Yi-Yi Zhu-Ge Kai-Qing Lin 

机构地区：[1]Department of Gynecology,Hangzhou Women’s Hospital,Hangzhou 310000,Zhejiang Province,China [2]Department of Gynecology and Obstetrics,Affiliated Hangzhou Chest Hospital,Zhejiang University School of Medicine,Hangzhou 310000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2024年第21期4762-4769,共8页世界临床病例杂志

基　　金：Medical and Health Science and Technology Project of Zhejiang Province of China,No.2022KY274.

摘　　要：BACKGROUND Retroperitoneal leiomyomas(RLs)are rare benign tumours that can occur in the pelvic and/or abdominal parietal retroperitoneum.Once torsion occurs,it causes acute abdominal pain and can even lead to serious consequences such as gangrene,peritonitis,haemoperitoneum and shock if not identified and treated promptly.Therefore,a better understanding of the characteristics of RL torsion is needed.Here,we present a case of acute pedicle torsion of an RL in the posterior peritoneum followed by a literature review.CASE SUMMARY Herein,we report the case of a 42-year-old woman with RL torsion.The patient visited our hospital complaining of lower abdominal pain for 6 d.Pelvic examination revealed a tender mass superior to the uterus.Pelvic magnetic resonance imaging(MRI)revealed an anterior uterine mass,multiple uterine fibroids and slight pelvic effusion.MRI suggested the possibility of a subserosal myoma of the anterior uterine wall with degeneration.Intraoperative exploration revealed a 10 cm pedunculated mass arising from the posterior peritoneum,with the pedicle torsed two times.Pathological examination confirmed a torsed RL.CONCLUSION In the case of a pelvic mass complicated with acute abdomen,the possibility of torsion should be considered.

关 键 词：LEIOMYOMA RETROPERITONEUM TORSION Abdominal pain Case report 

分 类 号：R743.34[医药卫生—神经病学与精神病学]