A case of torsion of leiomyoma originating from the round ligament of the uterus

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  • TAKI Mana
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • SAGAE Yusuke
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • INADA Kazutoshi
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • MIYAZAKI Yumiko
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • WADA Michiko
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • YOKOYAMA Reiko
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • SAKATA Harumi
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • YOSHIDA Takaaki
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center
  • NAKAMURA Kosaku
    Department of Gynecology and Obstetrics, Japanese Red Cross Society Wakayama Medical Center

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Other Title
  • 子宮円靭帯から発生した平滑筋腫が捻転を呈した1例
  • 症例報告 子宮円靭帯から発生した平滑筋腫が捻転を呈した1例
  • ショウレイ ホウコク シキュウエン ジンタイ カラ ハッセイ シタ ヘイカツ キンシュ ガ ネンテン オ テイシタ 1レイ

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Abstract

Synopsis The round ligament of the uterus consists of smooth muscle, connecting tissue, vessel, and nerve. It runs from the origin of the fallopian tube, through the inguinal canal, to the labia major. Tumors arising from the round ligament are relatively rare, but some cases have been reported. A 39-year-old woman was admitted to our hospital with acute abdominal pain. Since CT showed a 12cm-sized mass with high enhancement on the right side of the pelvis, we suspected torsion of the ovarian tumor and performed laparotomy. A solid tumor arising from the right round ligament of the uterus was found, with torsion of the right round ligament. The tumor was excised. The pathological diagnosis was a leiomyoma arising from the round ligament of the uterus.We report our experience and reported cases, and discuss the characteristic images of tumors arising from the round ligament of the uterus. [Adv Obstet Gynecol, 64 (2) : 137-141, 2012 (H24.5)]

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