Citizens Specialty Hospital in Hyderabad successfully treated a 41‑year‑old woman from Bhubaneswar who presented with severe abdominal pain and marked anemia. Imaging studies revealed a massive 19 cm fibroid and uterine torsion – an uncommon scenario where the uterus twists on its supporting ligaments, compromising blood flow and threatening the patient’s life.

Background and Clinical Significance

Uterine fibroids, or leiomyomas, affect roughly one‑third of women worldwide. While most are small and asymptomatic, fibroids larger than 10 cm are classified as “giant” and can precipitate serious complications such as heavy bleeding, infertility, and, rarely, torsion. In India, reports of uterine torsion linked to fibroids are scarce, making this case medically notable.

Surgical Intervention

Lead consultant Jyoti Kankanala, an obstetrician‑gynecologist, led an emergency hysterectomy accompanied by bilateral salpingo‑oophorectomy and appendectomy. The operation was technically demanding due to distorted anatomy and intra‑abdominal bleeding. The surgical team, including Dr. Pratap Varma, Dr. Vani, and anesthesiologist Dr. Madhukar Goud, managed the hemorrhage effectively and ensured hemostasis.

Post‑Operative Recovery

Post‑surgery, the patient received three units of packed red blood cells to correct anemia and stabilize vitals. She responded well, with no further complications, and was discharged in stable condition after a brief observation period.

Implications for Future Care

This incident underscores the importance of early detection of large fibroids through routine gynecologic screening, especially in women presenting with unexplained abdominal pain. It also highlights the critical role of multidisciplinary teams in managing rare, life‑threatening gynecologic emergencies, reinforcing the need for well‑equipped tertiary centers across the country.