Torsion of a non-gravid uterus: a rare cause of acute abdomen

Abstract

Torsion of a non gravid uterus is a rare phenomenon. In a non-gravid uterus the torsion is usually associated with the presence of big myomas, adnexal masses, uterine anomalies and pelvic adhesions. Precise preoperative diagnosis is usually difficult and the condition is diagnosed usually during surgical exploration. Delay in diagnosis can prove fatal as the uterus and adnexa can undergo gangrenous change. Timely surgical intervention is of utmost importance in the management of such cases. We describe a case of torsion uterus in a 72 yr old postmenopausal lady with a big fundal myoma who presented with acute abdominal pain.