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March 27, 1967

Torsion of the Nongravid Uterus

Author Affiliations


JAMA. 1967;199(13):1011. doi:10.1001/jama.1967.03120130097026

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