PMC8565679_01
CT Maximum Intensity Projection (MIP) showing serpiginous ovarian arteries converging in the region of the uterine isthmus
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The report after computed tomography (CT) investigation showed the presence of the giant uterine leiomyoma with important vascularization and the presence of a minimum quantity of free fluid in the left parauterin space, without giving any information regarding the annexes (Figures 1 and 2).
CT aspect - Volumetric Rendering (VR) showing the uterine mass
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The report after computed tomography (CT) investigation showed the presence of the giant uterine leiomyoma with important vascularization and the presence of a minimum quantity of free fluid in the left parauterin space, without giving any information regarding the annexes (Figures 1 and 2).
Intraoperative aspect
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Abdominal exploration revealed a giant engorged uterus with 720-degree dextro isthmic rotation around uterus axis; both fallopian tubes, broad ligaments, round ligaments and ovaries were also rotated and ischemic (Figures 3 and 4).
Intraoperative aspect after devolvulation
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Abdominal exploration revealed a giant engorged uterus with 720-degree dextro isthmic rotation around uterus axis; both fallopian tubes, broad ligaments, round ligaments and ovaries were also rotated and ischemic (Figures 3 and 4).