Uterine Torsion–A Case Report and Literature Review

Saul Hoffman () and Skandarupan Jayaratnam
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Skandarupan Jayaratnam: Department of Obstetrics and Gynaecology, James Cook University, Australia

Global Journal of Reproductive Medicine, 2018, vol. 5, issue 2, 59-61

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.

Keywords: Journal of Reproductive Medicine; Reproductive Medicine; journal of reproductive medicine; reproductive medicine articles; reproductive medicine articles impact factor; reproductive medicine research journals; reproductive journals list; open access; juniper publishers journals; juniper publishers reivew (search for similar items in EconPapers)
Date: 2018
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:adp:jgjorm:v:5:y:2018:i:2:p:59-61

DOI: 10.19080/GJORM.2018.05.555664

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