Torsion of Non-Gravid Uterus with Huge Myoma

A 40 years old single woman was presented with severe abdominal pain, progressive in nature (acute abdominal) during clinical examination a huge abdominal mass arising from pelvis was found with signs of abdominal rigidity and guarding. All other clinical features were within normal range. The abdominal ultrasound examination revealed abdominopelvic mass, irregular in shape with some degeneration of uterine myoma and adnexal infraction. The mass was not well defined and all matted together. Pre-operative diagnosis torsion of this mass with suspected origin of uterine myoma, adnexal or uterine torsion causing infarction of this mass. The operative findings were uterine torsion with both its adnexa. This torsion was severe enough to cause ischemia and gangrene to multiple parts of the mass. The final diagnosis was made during surgery and confirmed by histopathology examination. The diagnosis and proper action without delay save the patient from any complications and make the recovery smooth and quick.