TY - JOUR
AR - JSCR-2020-2-103
TI - Acute Uterine Torsion Mimicking Tumor Lysis Syndrome
AU - H (Dineke) PM Smedts, 
AU - Helena C van, Doorn
AU - Kinge Bergsma, 
JO - Surgery Case Reports
PY - 2020
DA - Tue 14, Apr 2020
SN - 2733-225X
DO - http://dx.doi.org/10.31487/j.JSCR.2020.02.03
UR - https://www.sciencerepository.org/acute-uterine-torsion-mimicking-tumor_JSCR-2020-2-103 
KW - Uterine torsion, tumour lysis syndrome
AB - 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