{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:38Z","timestamp":1753877258915,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Uterine torsion is a rare condition. Even more so in cases of non-gravid torsion. We present the case of a post-menopausal woman in her 70s who arrived to our emergency department acutely unwell with abdominal pain and vomiting on a background of a large leiomyomatous uterus, complicated by aspiration pneumonia, acute anaemia, and acute kidney injury. Computed tomography demonstrated a small bowel obstruction secondary to a large heterogeneous calcified pelvic mass. Laparotomy performed demonstrated a large leimyomatous uterus that had torted on the cervical pedicle associated with perforation of the lower anterior segment. A short segment of healthy jejunum was adhered to the uterine fundus, which was easily mobilized. Total hysterectomy and bilateral oophorectomy was performed. The patient made a full recovery. Histopathology demonstrated a calcified leiomyomatous uterus with adjacent haemorrhagic infarction of the uterine wall.<\/jats:p>","DOI":"10.1093\/jscr\/rjae045","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T20:49:53Z","timestamp":1708116593000},"source":"Crossref","is-referenced-by-count":0,"title":["Non-gravid uterine torsion associated with small bowel obstruction"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2192-5363","authenticated-orcid":false,"given":"Goh","family":"Barnabas","sequence":"first","affiliation":[{"name":"Department of Surgery, Western Health , Melbourne, Victoria 3011 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Mathew","sequence":"additional","affiliation":[{"name":"Department Obstetrics and Gynaecology, Western Health , Melbourne, Victoria 3011 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Shamassi","sequence":"additional","affiliation":[{"name":"Department of Anatomical Pathology, Western Health , Melbourne, Victoria 3011 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Rafique","sequence":"additional","affiliation":[{"name":"Department of Surgery, Western Health , Melbourne, Victoria 3011 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"2024021620494022300_ref1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1177\/003693306400901004","article-title":"Torsion of the non-pregnant uterus: a report of two cases","volume":"9","author":"McIntosh","year":"1964","journal-title":"Scott Med J"},{"key":"2024021620494022300_ref2","doi-asserted-by":"crossref","first-page":"100084","DOI":"10.1016\/j.tria.2020.100084","article-title":"Uterine torsion: a review with critical considerations for the obstetrician and gynecologist","volume":"21","author":"Liang","year":"2020","journal-title":"Transl Res Anatomy"},{"key":"2024021620494022300_ref3","doi-asserted-by":"crossref","first-page":"2050313X2110666","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 Reports"},{"key":"2024021620494022300_ref4","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/S0009-9260(98)80326-7","article-title":"Case report: torsion of a nongravid nonmyomatous uterus","volume":"53","author":"Davies","year":"1998","journal-title":"Clin Radiol"},{"key":"2024021620494022300_ref5","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1016\/0029-7844(94)00283-J","article-title":"Pelvic magnetic resonance imaging in the evaluation of uterine torsion","volume":"85","author":"Nicholson","year":"1995","journal-title":"Obstet Gynecol"},{"key":"2024021620494022300_ref6","doi-asserted-by":"crossref","first-page":"L249","DOI":"10.1007\/s00330-003-1838-3","article-title":"CT features of uterine torsion","volume":"13","author":"Jeong","year":"2003","journal-title":"Eur Radiol"},{"key":"2024021620494022300_ref7","first-page":"304","article-title":"Torsion of a nongravid myomatous uterus: radiological features and literature review","volume":"16","author":"Luk","year":"2010","journal-title":"Hong Kong Med J = Xianggang yi xue za zhi"},{"key":"2024021620494022300_ref8","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.1007\/s00261-016-0758-z","article-title":"A case of uterine torsion concurrent with a ruptured ovarian endometrial cyst","volume":"41","author":"Hashimoto","year":"2016","journal-title":"Abdominal Radiol (New York)"},{"key":"2024021620494022300_ref9","doi-asserted-by":"crossref","first-page":"2359","DOI":"10.1007\/s00261-016-0789-5","article-title":"Torsion, infarction, and rupture of a nongravid uterus: a complication of a large ovarian cyst","volume":"41","author":"Yap","year":"2016","journal-title":"Abdominal Radiol (New York)"},{"key":"2024021620494022300_ref10","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3941\/jrcr.v12i4.3360","article-title":"Torsion of a Myomatous, non-gravid uterus: CT findings","volume":"12","author":"Cheong","year":"2018","journal-title":"J Radiol Case Reports"},{"key":"2024021620494022300_ref11","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-229311","article-title":"Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman","volume":"12","author":"Chua","year":"2019","journal-title":"BMJ Case Reports"},{"key":"2024021620494022300_ref12","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000035964","article-title":"Uterine torsion with degeneration and infarction of giant leiomyoma in a postmenopausal woman: a case report","volume":"102","author":"Ye","year":"2023","journal-title":"Medicine"},{"key":"2024021620494022300_ref13","first-page":"8857300","article-title":"Uterine torsion in an elderly woman associated with leiomyoma and continuously elevating muscle enzymes: a case study and review of literature","volume":"2020","author":"Oda","year":"2020","journal-title":"Case Rep Obstet Gynecol"},{"key":"2024021620494022300_ref14","doi-asserted-by":"crossref","first-page":"958","DOI":"10.12891\/ceog3703.2017","article-title":"Torsion of a nongravid uterus with a massive ovarian tumor: a case report","volume":"44","author":"Li","year":"2017","journal-title":"Clin Exp Obstet Gynecol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae045\/56671023\/rjae045.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae045\/56671023\/rjae045.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T20:50:02Z","timestamp":1708116602000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae045\/7607171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae045","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,2]]},"published":{"date-parts":[[2024,2]]},"article-number":"rjae045"}}