06.04.2024 | Case Report
A Twist of Fate: Case Report of Complete Uterine Torsion at Term
verfasst von:
Riya Kumar, Kavita Mahadevappa, Rashmi Desai
Erschienen in:
The Journal of Obstetrics and Gynecology of India
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Abstract
Background
Uterine torsion is defined as a pathological rotation of the uterus around its fixed longitudinal or vertical axis by a margin of more than 45 degrees. It is difficult to diagnose antenatally and has several operative and post-operative ramifications, leading to higher maternal and foetal morbidity.
Case.
We describe the case of a 21-year-old woman with asymptomatic, complete uterine torsion diagnosed during repeat caesarean section at term.
Conclusions
Posterior uterine incision is feasible and time-saving in an unexpected circumstance like uterine torsion. Exteriorization followed by detorsion of the uterus and a meticulous exploration of surrounding structures ensures safe obstetric outcome.