Ho Ping Ling
KK Women’s and Children’s Hospital, Singapore
Title: A rare case of uterine torsion in a postmenopausal woman
Biography
Biography: Ho Ping Ling
Abstract
We present a rare case of uterine torsion with myoma in postmenopausal lady in a tertiary centre, emphasizing the importance of high clinical suspicion and advanced radiological imaging in its management. A 52-year-old postmenopausal lady presented with abdominal pain and no bowel movements for 3 days. CT abdomen and pelvis showed uterine torsion whilst initial ultrasound pelvis was unremarkable. Patient underwent laparotomy total hysterectomy and bilateral salpingo-oophorectomy. Intra-operatively findings include torted, enlarged uterus with myoma. Post-operatively patient recovered well. Uterine torsion is an extremely uncommon cause of abdominal pain in women. However, it is a surgical emergency. Prompt identification and management are important to minimize associated morbidity and mortality. In this case, high clinical suspicion and advanced radiological imaging results in early identification and management.