Torsion of a Nongravid Uterus with a Large Ovarian Cyst: Usefulness of Contrast MR Image
- 9 November 2006
- journal article
- case report
- Published by S. Karger AG in Gynecologic and Obstetric Investigation
- Vol. 63 (3), 163-165
- https://doi.org/10.1159/000096901
Abstract
Torsion of a nongravid uterus is extremely rare. Most cases of uterine torsion occur during pregnancy. Here we report a case of nongravid uterus torsion with a large adnexal mass. A 73-year-old woman presented at the emergency room with acute abdominal pain. A preoperative diagnosis of torsion of an ovarian cyst was made and laparotomy was performed. The left ovary was twisted 360° in a clockwise rotation, and the uterine corpus had also undergone a 360° rotation. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were carried out. Although a preoperative diagnosis of uterine torsion was not possible, it is noteworthy that in the contrast-enhanced magnetic resonance images the uterine cervix was intensely enhanced, while the uterine corpus was not. This is the first report to show the magnetic resonance imaging findings of a twisted uterus.Keywords
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