Uterine torsion in second trimester of pregnancy followed by a successful-term pregnancy

Farah Fatih, Vaidyanathan Gowri, Kuntal Rao

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Uterine torsion is defined as rotation of the uterus of more than 45° on its long axis. It is an unusual complication of pregnancy and for most obstetricians it probably represents a 'once-in-a-lifetime' diagnosis. Fetal mortality up to 12% and occasional maternal mortality are reported. A 22-year-old second gravida presented at 22+ weeks gestation with severe abdominal pain and shock. Laparotomy was done for suspected abruptio placenta, when torsion of the uterus to 180° was diagnosed. Posterior hysterotomy was performed. She conceived the next year and was delivered at term by caesarean section. Uterine torsion is a rare complication of pregnancy and obstetricians should have this complication in mind when performing a caesarean section for undiagnosed severe abdominal pain in pregnancy. Anatomical landmarks should be defined if possible, prior to uterine incision during a caesarean section, to avoid posterior hysterotomy.

Original languageEnglish
JournalBMJ Case Reports
DOIs
Publication statusPublished - 2012

Fingerprint

Second Pregnancy Trimester
Hysterotomy
Cesarean Section
Pregnancy Complications
Pregnancy
Abdominal Pain
Uterus
Abruptio Placentae
Fetal Mortality
Maternal Mortality
Laparotomy
Shock

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Uterine torsion in second trimester of pregnancy followed by a successful-term pregnancy. / Fatih, Farah; Gowri, Vaidyanathan; Rao, Kuntal.

In: BMJ Case Reports, 2012.

Research output: Contribution to journalArticle

@article{98226803b2494ad6b49add45ced4f9f8,
title = "Uterine torsion in second trimester of pregnancy followed by a successful-term pregnancy",
abstract = "Uterine torsion is defined as rotation of the uterus of more than 45° on its long axis. It is an unusual complication of pregnancy and for most obstetricians it probably represents a 'once-in-a-lifetime' diagnosis. Fetal mortality up to 12{\%} and occasional maternal mortality are reported. A 22-year-old second gravida presented at 22+ weeks gestation with severe abdominal pain and shock. Laparotomy was done for suspected abruptio placenta, when torsion of the uterus to 180° was diagnosed. Posterior hysterotomy was performed. She conceived the next year and was delivered at term by caesarean section. Uterine torsion is a rare complication of pregnancy and obstetricians should have this complication in mind when performing a caesarean section for undiagnosed severe abdominal pain in pregnancy. Anatomical landmarks should be defined if possible, prior to uterine incision during a caesarean section, to avoid posterior hysterotomy.",
author = "Farah Fatih and Vaidyanathan Gowri and Kuntal Rao",
year = "2012",
doi = "10.1136/bcr-2012-006359",
language = "English",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Uterine torsion in second trimester of pregnancy followed by a successful-term pregnancy

AU - Fatih, Farah

AU - Gowri, Vaidyanathan

AU - Rao, Kuntal

PY - 2012

Y1 - 2012

N2 - Uterine torsion is defined as rotation of the uterus of more than 45° on its long axis. It is an unusual complication of pregnancy and for most obstetricians it probably represents a 'once-in-a-lifetime' diagnosis. Fetal mortality up to 12% and occasional maternal mortality are reported. A 22-year-old second gravida presented at 22+ weeks gestation with severe abdominal pain and shock. Laparotomy was done for suspected abruptio placenta, when torsion of the uterus to 180° was diagnosed. Posterior hysterotomy was performed. She conceived the next year and was delivered at term by caesarean section. Uterine torsion is a rare complication of pregnancy and obstetricians should have this complication in mind when performing a caesarean section for undiagnosed severe abdominal pain in pregnancy. Anatomical landmarks should be defined if possible, prior to uterine incision during a caesarean section, to avoid posterior hysterotomy.

AB - Uterine torsion is defined as rotation of the uterus of more than 45° on its long axis. It is an unusual complication of pregnancy and for most obstetricians it probably represents a 'once-in-a-lifetime' diagnosis. Fetal mortality up to 12% and occasional maternal mortality are reported. A 22-year-old second gravida presented at 22+ weeks gestation with severe abdominal pain and shock. Laparotomy was done for suspected abruptio placenta, when torsion of the uterus to 180° was diagnosed. Posterior hysterotomy was performed. She conceived the next year and was delivered at term by caesarean section. Uterine torsion is a rare complication of pregnancy and obstetricians should have this complication in mind when performing a caesarean section for undiagnosed severe abdominal pain in pregnancy. Anatomical landmarks should be defined if possible, prior to uterine incision during a caesarean section, to avoid posterior hysterotomy.

UR - http://www.scopus.com/inward/record.url?scp=84865700015&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84865700015&partnerID=8YFLogxK

U2 - 10.1136/bcr-2012-006359

DO - 10.1136/bcr-2012-006359

M3 - Article

C2 - 22914233

AN - SCOPUS:84865700015

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

ER -