Design: Surgical video
Setting: Operating room at academic facility, patient placed in lithotomy position under general anesthesia
Patients or Participants: Single patient case study
Interventions: Diagnostic laparoscopy, laparoscopic resection of leiomyoma
Measurements and Main Results: Pathology report consistent with degenerating leiomyoma, post operative clinical visit with resolution of pain
Conclusion: Imaging is often insufficient to definitely diagnose or rule out torsion of fibroids. Surgical exploration is indicated when torsion of leiomyomas is suspected due to the risk of necrosis and sepsis.
Koi, TG*1, Manning, CT2, Joshi, A3, Farrell, AS2, Wang, CF3, Gagliardi, E2. 1Minimally Invasive Gynecologic Surgery, Newton-Wellesley Hospital, Massachusetts General Hospital, Newton, MA; 2OBGYN, Beth Israel Deaconess Medical Center, Boston, MA; 3OB/GYN, Beth Israel Deaconess Medical Center, BOSTON, MA