Torsion of a huge pedunculated uterine leiomyoma.

Uterine leiomyoma in torsion is an uncommon emergency and mimics generalized peritonitis. We report the case of a 62-year-old woman with a huge subserous fibroid in torsion. The lesion was removed surgically with the uterus and ovaries. Imaging is an essential tool in the diagnosis of myomata and should serve to exclude other diseases, especially malignancy.