Case Report

Torsion of an iatrogenic parasitic fibroid related to power morcellation for specimen retrieval

10.5152/jtgga.2015.15093

  • Deepa Maheswari Narasimhulu
  • Ellis Eugene
  • Saraf Sumit

Received Date: 06.05.2015 Accepted Date: 13.09.2015 J Turk Ger Gynecol Assoc 2015;16(4):259-262 PMID: 26692779

Parasitic fibroids are generally diagnosed incidentally at the time of surgery performed for symptomatic uterine fibroids. Torsion of a parasitic fibroid causing severe acute onset pain is extremely rare. We report a torsed parasitic fibroid in a patient who underwent hysterectomy using power morcellation for specimen retrieval. A 40-year-old patient with a history of laparoscopic supracervical hysterectomy 8 years prior presented with severe abdominal pain. She was diagnosed with degenerating parasitic fibroids on magnetic resonance imaging and was managed conservatively. Surgery was performed 3 days later for persistent pain, and the parasitic fibroid was found to have undergone torsion. Torsed ischemic fibroids can undergo necrosis and gangrene and can potentially cause life-threatening coagulopathy and peritonitis. Awareness of this potential complication will reduce errors in diagnosis and facilitate timely management.

Keywords: Parasitic fibroid, torsion, morcellation