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Obstet Gynecol Sci > Volume 54(10); 2011 > Article
Korean Journal of Obstetrics & Gynecology 2011;54(10):647-650.
DOI: https://doi.org/10.5468/KJOG.2011.54.10.647    Published online October 1, 2011.
A case of torsion of a pedunculated subserosal uterine leiomyoma accompanied with acute gastroenteritis: A possible diagnostic pitfall.
Ji Hyun Han, Eun Young Jung, Sun Young Jeon, Han Young Park, Nan Hee Jeong, Bo Yon Lee
Department of Obstetrics and Gynecology, KyungHee University College of Medicine, Seoul, Korea. writtable@naver.com
Abstract
A literature search on acute abdomen caused by a leiomyoma does not yield many specific reports of myoma-related complications or the presenting features. We describe a case of torsion of a pedunculated subserosal uterine leiomyoma in a 25-year-old virgin female who noticed lower abdominal pain with severe diarrhea, which was assumed to be typical acute gastroenteritis undoubtedly. Awareness of the condition and a high index of suspicion are keys to early diagnosis and prompt intervention. A description of unique clinical features and radiologic evaluation is discussed.
Key Words: Leiomyoma, Uterus, Torsion, Abdominal pain, Gastroenteritis


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