Acute torsion of uterine leiomyoma: CT features

C. Roy, G. Bierry, S. El Ghali, Xavier Buy, Angelo Rossini
In: Abdominal Imaging · 2004 · vol. 30(1) , pp. 120–123 · doi:10.1007/s00261-004-0240-1 · PMID:15647881 · W2034746932
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This paper describes computed tomographic features that can diagnose acute subserosal uterine leiomyoma torsion, a rare surgical emergency that can mimic ovarian torsion or leiomyoma infarction.

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This paper describes acute torsion of a subserosal uterine leiomyoma, a rare and often preoperatively missed surgical emergency, and focuses on how computed tomography can establish the diagnosis. It outlines the key differential diagnoses—ovary/adnexal torsion and massive infarct within a common leiomyoma—and contrasts CT with ultrasound, stating that ultrasound is less sensitive. A major limitation is that torsion of uterine leiomyomas is infrequent, which limits preoperative recognition and emphasizes reliance on imaging features. Relevance to endometriosis: the paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Acute torsion of a subserosal leiomyoma is a rare acute condition that is infrequently diagnosed preoperatively. It is a recognized surgical emergency, especially when additional systemic symptoms are associated. There are two main differential diagnoses: ovary/adnexal torsion and massive infarct inside a common leiomyoma. The diagnosis can be established by computed tomographic features. Ultrasound examination is less sensitive.

References

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