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Vol.65 (2019) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/1058

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Title: Successful management of preoperatively diagnosed torsion of a subserosal uterine fibroid by pneumoperitoneum laparoscopic single-port surgery
Authors: Endo, Yuta
Takahashi, Toshifumi
Matsumiya, Tamaki
Fukuda, Kaoru
Ueda, Makiko
Owada, Aya
Nomura, Shinji
Ota, Kuniaki
Hashimoto, Satoshi
Soeda, Shu
Nomura, Yasuhisa
Fujimori, Keiya
Tanaka, Mikio
Affiliation: 産科婦人科学講座
Source title: Fukushima Journal of Medical Science
Volume: 65
Issue: 3
Start page: 128
End page: 132
Issue Date: 2019
Abstract: Objective: Preoperative diagnosis and successful management of acute torsion of a subserosal fibroid by using appropriate imaging modalities and single-port laparoscopic surgery. Case report: A 44-year-old nulliparous woman presented with lower abdominal pain. Computed tomography and magnetic resonance imaging with contrast enhancement revealed a tumor in the pouch of Douglas with a low contrast at the center and thin-rim enhancement. Torsion of a uterine subserosal fibroid was diagnosed preoperatively. Laparoscopic single-port surgery by pneumoperitoneum was performed. Torsion of the pedicle attached to the uterine wall was excised by bipolar coagulation and cut with scissors. The extirpated fibroid was extracted from the umbilical wound. The pneumoperitoneum single-port laparoscopic surgery was completed as a gynecologic emergency operation. Conclusion: Torsional uterine fibroids are difficult to diagnose preoperatively as symptoms are nonspecific and need emergent surgical management as an acute abdomen. Preoperative diagnosis using appropriate imaging modalities is important to perform single-port laparoscopic surgery.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1058
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1058/1/FksmJMedSci_65_p128.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.2019-18
PubMed ID: 31611476
Related Page: https://doi.org/10.5387/fms.2019-18
Rights: © 2019 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.65 (2019)

Files in This Item:

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FksmJMedSci_65_p128.pdf1.15 MBAdobe PDFDownload

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