Torsion of Fallopian Tube Leiomyoma Treated by Laparoscopically-Assisted Approach: Case Report

  • Horisawa Shin
    Department of Obstetrics and Gynecology, Nagano Red Cross Hospital
  • Ashida Takashi
    Department of Obstetrics and Gynecology, Kawaguchi Municipal Medical Center
  • Sonoda Masaki
    Department of Obstetrics and Gynecology, Nagano Red Cross Hospital
  • Morita Masayoshi
    Department of Obstetrics and Gynecology, Nagano Red Cross Hospital
  • Yoshikawa Midori
    Department of Obstetrics and Gynecology, Nagano Red Cross Hospital
  • Ida Koichi
    Department of Obstetrics and Gynecology, Nagano Red Cross Hospital
  • Fuseya Chiho
    Department of Obstetrics and Gynecology, Nagano Red Cross Hospital

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Other Title
  • 腹腔鏡補助下に治療し得た卵管筋腫茎捻転の一例

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Abstract

Leiomyomas of the Fallopian tube are rare and their correct diagnosis is extremely difficult. A 39-year-old woman presented with lower abdominal pain. Magnetic resonance imaging revealed a solid extrauterine mass 12 cm in diameter with an area of decreased enhancement. Our preoperative diagnosis was torsion of a subserosal uterine leiomyoma. Laparoscopic surgery was performed and the tumor was found to have originated from the isthmus of the left Fallopian tube. A laparoscopic left salpingectomy was performed. Her postoperative course was uneventful. The final pathology report noted a primary tubal leiomyoma with ischemic changes. We report a case of torsion of a tubal leiomyoma, which was successfully managed laparoscopically.

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