ARP Case Report Nº 13: Torsion with Infarct of Pedunculated Subserous Uterine Myoma

Abstract

A 73-year-old woman consulted the gynecologist for persistent pelvic pain for the past month. No other complaints including systemic symptoms or metrorrhagia.
The ultrasound study showed a large pelvic tumour mass. It was not possible to determine the organ of origin. Values of Ca- 125 were normal.
Pelvic MRI was requested for additional characterization of the pelvic mass and to determine the organ of origin.
Magnetic resonance imaging revealed a well-defined solid tumour lesion located in the midline independent of the ovaries and bladder but contacting the uterine fundus by a small pedicle. The mass reveals blood inside and there was no enhancement after IV contrast. The findings suggest the diagnosis of torsion on pedunculated subserous uterine myoma with infarction.