Case Reports in Obstetrics and Gynecology / 2020 / Article / Tab 2 / Case Report
Uterine Torsion in an Elderly Woman Associated with Leiomyoma and Continuously Elevating Muscle Enzymes: A Case Study and Review of Literature Table 2 Literature analysis on postmenopausal uterine torsion (PubMed available articles from 2010 to 2020).
Authors Age Symptoms Peritoneal signs Medical history Time from onset to surgery Torsion degree Operation Postoperative course Halassy and Clarke [2 ] 70 Mild abdominal pain Back and shoulder pain (-) Leiomyoma (16 cm) Atrial fibrillation Type 2 DM 2 days 180 ATH+BSO Blood transfusion Wang et al. [6 ] 86 Renal failure Abdominal discomfort Appetite loss and delirium (-) Leiomyoma (16 cm) Umbilical hernia >7 days 360 ATH+BSO Chua et al. [10 ] 73 Mild abdominal pain Back pain (-) Leiomyoma (18 cm) 14 days 360 ATH+BSO Yap et al. [12 ] 57 Severe abdominal pain Nausea Unknown Ovarian cyst (31 cm) 1 day 180 ATH+BSO Havaldar and Ashok [11 ] 55 Severe abdominal pain Nausea and distention (+) Ovarian cyst (21 cm) 1 day 180 ATH+BSO Sikora-Szczesniak et al. [3 ] 67 Mild abdominal pain (-) Leiomyoma (27 cm) Periumbilical hernia 5 days 180 AHT+BSO Blood transfusion Luk et al. [9 ] 61 Mild abdominal pain Distention (-) Leiomyoma (15.5 cm) Hiatus hernia 5 days 720 ATH+BSO Hemorrhagic shock
ATH: abdominal total hysterectomy; BSO: bilateral salpingo-oophorectomy. Maximum diameters of the leiomyomas or ovarian cysts are enclosed in parentheses.