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Torsion of an iatrogenic parasitic fibroid related to power morcellation for specimen retrieval
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نویسنده
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narasimhulu d.m. ,eugene e. ,sumit s.
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منبع
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journal of the turkish german gynecology association - 2015 - دوره : 16 - شماره : 4 - صفحه:259 -262
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چکیده
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Parasitic fibroids are generally diagnosed incidentally at the time of surgery performed for symptomatic uterine fibroids. torsion of a parasitic fibroid causing severe acute onset pain is extremely rare. we report a torsed parasitic fibroid in a patient who underwent hysterectomy using power morcellation for specimen retrieval. a 40-year-old patient with a history of laparoscopic supracervical hysterectomy 8 years prior presented with severe abdominal pain. she was diagnosed with degenerating parasitic fibroids on magnetic resonance imaging and was managed conservatively. surgery was performed 3 days later for persistent pain,and the parasitic fibroid was found to have undergone torsion. torsed ischemic fibroids can undergo necrosis and gangrene and can potentially cause life-threatening coagulopathy and peritonitis. awareness of this potential complication will reduce errors in diagnosis and facilitate timely management. © 2015 by the turkish-german gynecological education and research foundation.
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کلیدواژه
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Morcellation; Parasitic fibroid; Torsion
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آدرس
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department of obstetrics and gynecology,maimonides medical center, United States, department of obstetrics and gynecology,maimonides medical center, United States, department of obstetrics and gynecology,maimonides medical center, United States
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Authors
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