{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:45:05Z","timestamp":1753875905581,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T00:00:00Z","timestamp":1743724800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This case report describes the rare occurrence of a pre-operative radiological diagnosis of uterine torsion in the non-gravid uterus. A 78-year-old female presented with a 5-day history of worsening non-specific gastrointestinal symptoms. Her admission CT study initially reported a large adnexal mass lesion causing obstruction of neighbouring small bowel loops. Management was initiated under the presumption of a complex uterine fibroid causing local small bowel obstruction. Only a secondary radiological review\u2014conducted due to persistent abdominal pain\u2014identified the characteristic \u201cwhirlpool\u201d sign of the uterine cavity and prompted the differential of uterine torsion. Contrast-enhanced MRI study further confirmed this suggestion with a lack of uterine contrast uptake and the \u201cX-sign.\u201d The patient subsequently had an emergency laparotomy for a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Intra-operative findings and further histological analysis demonstrated a distorted uterine cavity with haemorrhagic infarction, confirming a diagnosis of uterine torsion.<\/jats:p>","DOI":"10.1093\/bjrcr\/uaaf010","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T19:02:44Z","timestamp":1743793364000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report: preoperative radiological diagnosis of uterine torsion in the non-gravid uterus"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7933-182X","authenticated-orcid":false,"given":"Senthan","family":"Rudrakumar","sequence":"first","affiliation":[{"name":"West Herts NHS Trust , Hertfordshire, WD18 0HB,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaivalya","family":"Bhagat","sequence":"additional","affiliation":[{"name":"Luton and Dunstable NHS Trust , Bedfordshire, LU4 0DZ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren Jane","family":"Matthews","sequence":"additional","affiliation":[{"name":"West Herts NHS Trust , Hertfordshire, WD18 0HB,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Bhagat","sequence":"additional","affiliation":[{"name":"West Herts NHS Trust , Hertfordshire, WD18 0HB,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Malhotra","sequence":"additional","affiliation":[{"name":"West Herts NHS Trust , Hertfordshire, WD18 0HB,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"2025051308061758500_uaaf010-B1","doi-asserted-by":"publisher","first-page":"2050313X211066649","DOI":"10.1177\/2050313X211066649","article-title":"Uterine torsion in non-gravid women: A case report and review of cases reported in the last 20 years","volume":"9","author":"Matsumoto","year":"2021","journal-title":"SAGE Open Med Case Rep"},{"key":"2025051308061758500_uaaf010-B2","doi-asserted-by":"publisher","first-page":"e00170","DOI":"10.1016\/j.crwh.2019.e00170","article-title":"Twisting around an axis: a case report of uterine torsion","volume":"25","author":"Halassy","year":"2020","journal-title":"Case Rep Womens Health"},{"key":"2025051308061758500_uaaf010-B3","doi-asserted-by":"publisher","first-page":"164","DOI":"10.14740\/jmc3314","article-title":"A rare case of complete uterine torsion in a postmenopausal woman","volume":"10","author":"Ho","year":"2019","journal-title":"J Med Cases"},{"key":"2025051308061758500_uaaf010-B4","doi-asserted-by":"publisher","first-page":"100106Z08MS2022","DOI":"10.5348\/100106Z08MS2022CR","article-title":"The twisted uterus: a rare presentation of uterine torsion","volume":"8","author":"Trowsdale Stannard","year":"2022","journal-title":"J Case Rep Images Obstet Gynecol"},{"key":"2025051308061758500_uaaf010-B5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.26689\/aogr.v1i1.4922","article-title":"Uterine torsion due to uterine fibroid in non-pregnant women: a case report","volume":"1","author":"Kim","year":"2023","journal-title":"AOGR"},{"year":"2023","author":"Ho","key":"2025051308061758500_uaaf010-B6"}],"container-title":["BJR|Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjrcr\/advance-article-pdf\/doi\/10.1093\/bjrcr\/uaaf010\/62871753\/uaaf010.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjrcr\/article-pdf\/11\/3\/uaaf010\/62871753\/uaaf010.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjrcr\/article-pdf\/11\/3\/uaaf010\/62871753\/uaaf010.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T12:07:10Z","timestamp":1747138030000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjrcr\/article\/doi\/10.1093\/bjrcr\/uaaf010\/8106488"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,4]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/bjrcr\/uaaf010","relation":{},"ISSN":["2055-7159"],"issn-type":[{"type":"electronic","value":"2055-7159"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,4]]},"article-number":"uaaf010"}}