Abstract
Torsion of uterine leiomyoma is a rare, albeit life-threatening surgical emergency. A 55-year-old woman presented with right iliac fossa pain persisting for the past 15 days, accompanied by nausea and vomiting. Imaging revealed a torsed subserosal pedunculated uterine leiomyoma, which caused ovarian torsion and ipsilateral ureterohydronephrosis. The case was managed surgically, and the diagnosis confirmed intraoperatively as well as through histopathology.