To the Editor:—
Torsion of the nongravid uterus is a rare condition. In 1861 the first case of axial uterine rotation was presented1; the mechanism was uncertain. Following this description single and collected case reports have appeared in the literature.1-4 A recent case of torsion of the uterus produced infarction of a fibromyoma.5 We would like to add another case.
Report of a Case:—
A 67-year-old Negress was admitted to the Pennsylvania Hospital with a history of left-upper-quadrant abdominal pain, radiating to the back. The pain had been episodic for a week and had been accompanied by nausea. The patient had collapsed on the day of admission and was brought to the accident ward.Initial examination revealed an elderly, obese woman with a palpable, large, irregular, mobile intra-abdominal mass, predominantly on the left. The abdomen was soft with no muscle guarding or rebound tenderness. Her blood pressure was
Bolognese RJ, Weber LL, Zachary TV. Torsion of the Nongravid Uterus. JAMA. 1967;199(13):1011. doi:10.1001/jama.1967.03120130097026