Ultrasound Characteristics of Twisted Pedunculated Subserosal Uterine Leiomyomas: A Case Report and a Systematic Review of the Literature.
Maddalena Paoli, Pietro Pasquini, Alessandra Pennetta et al.
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Case in brief
A 29-year-old pregnant patient at 21 weeks' gestation presented with ultrasound findings indicative of torsion of a pedunculated subserosal uterine leiomyoma (TPSUL). The ultrasound revealed features consistent with those reported in the literature, including a heterogeneous echotexture and reduced vascularization. The case underscores the importance of ultrasound in the preoperative diagnosis of TPSUL, which may necessitate emergency surgery.
Diagnostic / clinical pearl
Ultrasound can effectively identify key features of torsion in pedunculated subserosal uterine leiomyomas, aiding in timely diagnosis and management.
Why it matters
Recognizing the ultrasound characteristics of TPSUL can facilitate early intervention, potentially reducing complications associated with this rare condition.