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May 28, 1898


JAMA. 1898;XXX(22):1298-1299. doi:10.1001/jama.1898.02440740044005

Tumors which grow from the pelvis into the abdominal cavity and thus get more room, such as tumors of the ovary provided with a long pedicle, not infrequently present torsion of the pedicle that give rise to very acute symptoms. Pedunculated myomata of the uterus may also present torsions of the pedicle, followed by necrosis of the tumor.

B. S. Schultze1 calls attention to the fact that these torsions of the pedicle of tumors connected with the uterus or its appendages are not always sharply enough distinguished from twists of the axis of the uterus. The term torsion of the uterus was first applied by Klob to describe a changed position in the whole uterus, which is brought about by parametritic cicatrices, which dislocate the entire uterus as well as the cervix. Thus gynecologists speak of dextro-torsion and sinistro-torsion of the uterus.

The twisting of the uterus around its