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Updated: Jul 18, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Torsion of a uterine leiomyoma
Yueh-Ju Tsai1, Sew-Khee Yeat, Cherng-Jye Jeng
1Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan.
Objective:
To report a case of torsion of a pedunculated uterine leiomyoma.
Case Report:
A 38-year-old female virgin presented at the emergency department with complaints of severe lower abdominal pain on November 30, 2005. A transabdominal sonogram revealed multiple uterine masses, including a pedunculated mass. With a preoperative diagnosis of torsion of a pedunculated subserosal leiomyoma, the patient underwent an abdominal myomectomy. On gross inspection, the resected myoma was ischemic, and both focal hemorrhage and necrosis were noted in the pathology report.
Conclusion:
Torsion of a pedunculated uterine myoma is rare but represents a surgical emergency to improve symptoms and avoid consumptive coagulopathy.
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