{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:02Z","timestamp":1787016902388,"version":"build-2736575974"},"reference-count":6,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,25]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>Uterine torsion is an uncommon entity that is defined as a rotation of greater than 45\u00b0 around the longitudinal axis of the uterus. Although cases of uterine torsion among pregnant patients have been mentioned in the literature, torsion of a non-gravid uterus is a rare occurrence. A 73-year-old nulliparous woman with a known fibroid uterus underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy with frozen section of a 17\u201318\u2009cm pelvic mass seen on CT imaging. The source of the pelvic mass was unclear on imaging, and benign and malignant possibilities were discussed. During the procedure, necrosis of the uterine fundus and bilateral adnexa were seen due to the fundus being torsed with the uterine fibroid being the pivot point. Uterine torsion, though rare, can be the cause of acute pelvic pain in a postmenopausal woman.<\/jats:p>","DOI":"10.1136\/bcr-2019-229311","type":"journal-article","created":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T06:45:15Z","timestamp":1560926715000},"page":"e229311","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman"],"prefix":"10.1136","volume":"12","author":[{"given":"Katherine Jane","family":"Chua","sequence":"first","affiliation":[{"name":"Anatomy, School of Medicine, St George\u2019s University, St George\u2019s, Grenada"},{"name":"Obstetrics and Gynecology, Saint Peter\u2019s University Hospital, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricky","family":"Patel","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Saint Peter\u2019s University Hospital, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armina","family":"Eana","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Saint Peter\u2019s University Hospital, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Varughese","sequence":"additional","affiliation":[{"name":"Gynecologic Oncology, Saint Peter\u2019s University Hospital, New Brunswick, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,6,18]]},"reference":[{"key":"2025082803193504000_12.6.e229311.1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.5114\/pm.2014.42718","article-title":"Torsion of the uterus with myomas in a postmenopausal woman \u2013 case study and review of the literature","volume":"2","author":"Sikora-Szcz\u0119\u015bniak","year":"2014","journal-title":"Menopausal Review"},{"key":"2025082803193504000_12.6.e229311.2","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1089\/gyn.2013.0044","article-title":"Torsion of a giant leiomyomatous uterus in a postmenopausal woman","volume":"30","author":"Pochiraju","year":"2014","journal-title":"J Gynecol Surg"},{"key":"2025082803193504000_12.6.e229311.3","doi-asserted-by":"crossref","first-page":"95","DOI":"10.11604\/pamj.2014.18.95.1430","article-title":"Torsion of non-gravid uterus with ovarian cyst - an extremely rare case","volume":"18","author":"Havaldar","year":"2014","journal-title":"Pan Afr Med J"},{"key":"2025082803193504000_12.6.e229311.4","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":"Abdom Radiol"},{"key":"2025082803193504000_12.6.e229311.5","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3941\/jrcr.v12i4.3360","article-title":"Torsion of a myomatous, non-gravid uterus: CT finding","volume":"12","author":"Cheong","year":"2018","journal-title":"J Radiol Case Rep"},{"key":"2025082803193504000_12.6.e229311.6","doi-asserted-by":"crossref","first-page":"175","DOI":"10.11604\/pamj.2018.29.175.14101","article-title":"Uterine torsion of 720 degrees in the third trimester of pregnancy and accompanying bladder torsion: a case report","volume":"29","author":"Kilicci","year":"2018","journal-title":"Pan Afr Med J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:19:45Z","timestamp":1756376385000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":6,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,6,18]]},"published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1136\/bcr-2019-229311"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229311","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}