Uterine Torsion–A Case Report and Literature Review
Year: 2018
Type: article
Study design: Case Report
Abstract: Uterine torsion is defined as rotation of the uterus around its longitudinal access by more than 45 degrees. It is associated with increased morbidity and is difficult to diagnose antenatally, resulting in diagnosis during caesarean section, often after the fetus has been delivered via incision into the posterior uterine wall. This has ongoing ramifications for the patient associated with increased risk of uterine rupture in future pregnancies and possibly increased bleeding intraoperatively. Aetiology of uterine torsion is unknown but an association exists with uterine anomalies and fetal mal-presentations. The authors present a case of uterine torsion in a gravida 4, para 2 diagnosed at repeat elective Caesarean Section. Our patient had a significant history of malpresentations in her two previous pregnancies and had a breech presentation in this pregnancy. The levo-rotated uterus was diagnosed following the breech extraction of the fetus via posterior hysterotomy and was complicated by a tear in the right infundibulopelvic (IP) vascular bundle. Given the rarity of this presentation and potential implications, this case report aims to increase clinician awareness of uterine torsion and provide an update on this condition to facilitate earlier intrapartum diagnosis and decrease potential morbidity.
Authors: Susie Hoffman, Skandarupan Jayaratnam
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3195552738