Torsion of the uterus with myomas in a postmenopausal woman - case study and review of the literature.
BACKGROUND
Torsion of the uterus is defined as a rotation of more than 45° around the long axis of the uterus; 2/3 of cases are dextrorotations. The extent of rotation usually ranges from 45° to 180°.


OBJECTIVE
The purpose of the article was to present a case study of a postmenopausal woman with uterine torsion and myomas and to review the articles discussing the problem of rotated non-pregnant uterus.


METHODS
The article analyses the course of an extremely uncommon pathology, i.e. uterine torsion in a 67-year-old patient. Laparotomy exposed the uterus with myomas and numerous hemorrhages, rotated by 180° to the right side, size of 350 × 300 × 200 mm and bilateral necrosis of the ovaries. Moreover, we present a review of articles discussing surgical management in case of rotated non-pregnant uterus.


CONCLUSIONS
The patient was operated on by a team of gynecologists and surgeons. The uterus was derotated and total hysterectomy with salpingoophorectomy was performed. A fragment of the hepatic oval ligament was excised and periumbilical hernioplasty was performed. The patient was released home on the 10(th) day following the operation.


CONCLUSIONS
If women complain of pain located within the small pelvis and abdominal cavity it is necessary to remember that it might result from the torsion of reproductive organs which is an uncommon condition but poses a health or life threat to patients. Surgical treatment of uterine torsion is successful if promptly implemented; in certain cases it is even possible to spare the patient's fertility.
Department of Obstetrics and Gynecology, Specialist Hospital in Radom.
Dobrosława
D
Sikora-Szczęśniak
Department of General Surgery, Specialist Hospital in Radom.
Grzegorz
G
Szczęśniak
Department of Radiology, Specialist Hospital in Radom.
Tomasz
T
Łęgowik
Department of Obstetrics and Gynecology, Specialist Hospital in Radom.
Wacław
W
Sikora
surgical treatment; uterine myomas; uterine torsion