腹腔鏡補助下に治療し得た卵管筋腫茎捻転の一例 Torsion of Fallopian Tube Leiomyoma Treated by Laparoscopically-Assisted Approach: Case Report
Leiomyomas of the Fallopian tube are rare and their correct diagnosis is extremely difficult. A 39-year-old woman presented with lower abdominal pain. Magnetic resonance imaging revealed a solid extrauterine mass 12 cm in diameter with an area of decreased enhancement. Our preoperative diagnosis was torsion of a subserosal uterine leiomyoma. Laparoscopic surgery was performed and the tumor was found to have originated from the isthmus of the left Fallopian tube. A laparoscopic left salpingectomy was performed. Her postoperative course was uneventful. The final pathology report noted a primary tubal leiomyoma with ischemic changes. We report a case of torsion of a tubal leiomyoma, which was successfully managed laparoscopically.
日本産科婦人科内視鏡学会雑誌 30(2), 432-435, 2015