Acute Uterine Torsion Mimicking Tumor Lysis Syndrome

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Author Info

H (Dineke) PM Smedts Helena C van Doorn Kinge Bergsma

Corresponding Author

Helena C van Doorn
Department of Gynecologic Oncology, Erasmus MC Cancer Clinic, Erasmus University Rotterdam, The Netherlands

A B S T R A C T

Background: Non-gravid uterine torsion is rare and mostly diagnosed at surgery. This report describes a patient with a large abdominal mass, critical illness, and tumor lysis syndrome. Case: A female presented with acute abdominal pain. Physical exam showed a large abdominal mass and abdominal rigidity. Serial laboratory tests showed a drop in hemoglobin level, progressive renal failure and serum uric acid and phosphate concentrations compatible with tumor lysis syndrome. Computed tomography showed a 30 cm mass filling the pelvis and abdomen. At an emergency exploratory laparotomy, a 360 degrees torsion of the uterus was found. An uneventful total hysterectomy was done. After surgery renal function restored. Conclusion: Uterine torsion is rare and can be potentially life threatening when presenting as tumor lysis syndrome

Article Info

Article Type

Case Report

Publication history

Received: Mon 16, Mar 2020
Accepted: Wed 01, Apr 2020
Published: Tue 14, Apr 2020

Copyright

© 2023 Helena C van Doorn. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSCR.2020.02.03