Torsion of Myoma As An Etiology of Acute Abdomen In Pregnancy

Number: 1 March 1, 2010
  • Harika Bodur Öztürk
  • Belgin Selam
  • Cem Demirel
  • Tolga Ergin
  • Arda Lembet
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Torsion of Myoma As An Etiology of Acute Abdomen In Pregnancy

Abstract

Management and therapy of acute abdomen in pregnancy presents a challenge for obstetricians due to anatomical and physiological alterations during pregnancy. Symptoms and results of the laboratory analyses may interfere with physiological responses in pregnancy. Abdominal pain during pregnancy may be related to pelvic organs as well as the obstetrical etiology. Leiomyomas are frequently observed in women during the late reproductive period. They are usually asymptomatic. Myoma uteri may cause pain during pregnancy due to degeneration, torsion or due to uterine torsion from mass eff ect. We report a case of acute abdomen during pregnancy managed with surgery due to torsion of pedunculous myoma uteri. A 31 years old G1 P0 patient with 21 weeks of gestation complained of abdominal pain. She had rebound tenderness at right lower quadrant. Both ovaries were observed to be normal by ultrasound and Doppler examinations. Exploratory laparotomy was performed due to prediagnosis of acute appendicitis. Torsion of subserosal myoma from its pedicles was detected during intraoperative surveillance. Myomectomy was performed with normal pregnancy outcome.

Keywords

References

  1. Augustin G, Majerovic M. Non obstetrical acute abdomen during pregnancy. Eur J Obstet Gynecol Reprod Biol. 2007; 131(1): 4-12
  2. Kennedy A. Assessment of acute abdominal pain in the pregnant patient. Semin Ultrasound CT MR 2000; 21: 64-77
  3. Birchard KR, Brown MA, Hyslop WB, Firat Z, Semelka RC. MRI of acute abdominal and pelvic pain in pregnant patients. AJR Am J Roentgenol 2005; 184(2): 452-458
  4. Exacoustòs C, Rosati P. Ultrasound diagnosis of uterine myomas and complications in pregnancy. Obstet Gynecol 1993; 82(1): 97-101
  5. Tsai Y-J, Yeat S-K, Jeng C-J, Chen S-C. Torsion of a uterine leiomyoma. Taiwanese J Obstet Gynecol 2006; 45(4): 333-335
  6. Mickel I, Bollmann R, Chaoui R, Lau HU. Torsion of the myoma pedicle as a rare cause of ileus in puerperium. Geburtshilfe Frauenheilkd. 1995; 55(12): 721-723.

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Harika Bodur Öztürk

Belgin Selam

Cem Demirel

Tolga Ergin

Arda Lembet

Publication Date

March 1, 2010

Submission Date

-

Acceptance Date

-

Published in Issue

Year 1970 Number: 1

IZ

https://izlik.org/JA76RF78ZD

Cite

RIS / Bibtex
EndNote
Öztürk HB, Selam B, Demirel C, Ergin T, Lembet A (March 1, 2010) Gebelikte Akut Karın Nedeni Olarak Miyom Torsiyonu. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 1 54–56.