Uterine Torsion in an Elderly Woman Associated with Leiomyoma and Continuously Elevating Muscle Enzymes: A Case Study and Review of Literature

Figure 2

Operative findings and gross section of the uterus. The gross material revealed that the uterus was rotated 540 degrees counterclockwise at the level of the junction between the cervix and the uterine body. Both fallopian tubes and uterine body were discolored and necrotic. The cervix was atrophic and unusually elongated (a, b). Pathologic findings were uterine interstitial leiomyoma with diffuse calcification and hemorrhagic necrosis, weighing 1360 g in total (c, d). Both ovaries, fallopian tubes, and uterine body were necrotic, suggesting total tissue infarction due to the axial rotation of the uterus.

(a)

(b)

(c)

(d)