Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2024; 12(21): 4762-4769
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4762
Torsed retroperitoneal leiomyomas: A case report and review of literature
Jin Li, Yi-Yi Zhu-Ge, Kai-Qing Lin
Jin Li, Yi-Yi Zhu-Ge, Department of Gynecology, Hangzhou Women’s Hospital, Hangzhou 310000, Zhejiang Province, China
Kai-Qing Lin, Department of Gynecology and Obstetrics, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
Author contributions: Li J contributed to manuscript writing and editing and data collection; Zhu-Ge YY contributed to data analysis; Lin KQ contributed to conceptualization and supervision; All authors have read and approved the final manuscript.
Supported by Medical and Health Science and Technology Project of Zhejiang Province of China, No. 2022KY274.
Informed consent statement: The patient provided informed written consent prior to study enrolment.
Conflict-of-interest statement: None of the authors have any conflicts of interest to declare. There are no conflicts of interest in this study. None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kai-Qing Lin, PhD, Chairman, Surgeon, Department of Gynecology and Obstetrics, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine, No. 208 East Huancheng Road, Hangzhou 310000, Zhejiang Province, China. linkaiqing@zju.edu.cn
Received: March 24, 2024
Revised: May 11, 2024
Accepted: June 4, 2024
Published online: July 26, 2024
Processing time: 98 Days and 11.4 Hours
Core Tip

Core Tip: Retroperitoneal leiomyoma torsion is extremely rare. We report a case of acute pedicular torsion of a leiomyoma in the posterior peritoneum, followed by a literature review. The review suggested that RL torsion mainly occurs in female patients, and the most prominent clinical symptom is abdominal pain. The possible imaging features of torsed retroperitoneal leiomyomas include a well-circumscribed mass separate from the uterus and adnexa, no enhancement, a torsed pedicle, and ascites. If the diagnosis is unclear, surgical exploration should be considered to confirm the diagnosis in a timely manner to reduce the risk of other complications.