Ultrasound Characteristics of Twisted Pedunculated Subserosal Uterine Leiomyomas: A Case Report and a Systematic Review of the Literature

Description

Ultrasound clues that warn of a twisted fibroid on a stalk are gathered by Paoli and colleagues. Torsion of a pedunculated subserosal leiomyoma, a benign womb tumour hanging from the uterus surface, is rare but can demand emergency surgery. Early recognition before the operation is difficult. The team reviewed thirty-eight reports covering forty-two cases and added a case of their own, a pregnant patient at twenty-one weeks.

The most common findings were a large mass averaging about ten centimetres, growth since earlier scans, uneven internal texture, and smooth borders. Shadowing behind the mass, free pelvic fluid, and patchy cystic areas were also frequent. Blood flow inside the mass was absent or reduced in every case, though a twisted stalk itself was seen in only a minority. Paoli and colleagues conclude that ultrasound, read against these patterns, can support earlier preoperative diagnosis and future diagnostic standards.

Catalog record

Source: https://europepmc.org/articles/PMC13641338