Korean J Perinatol.  2016 Mar;27(1):67-69. 10.14734/kjp.2016.27.1.67.

Uterine Torsion in Third Trimester Pregnancy

• Choi YH
• Lee G

• KMID: 2164271
• DOI: http://doi.org/10.14734/kjp.2016.27.1.67

Abstract

The preoperative diagnosis of uterine torsion is very difficult due to the rarity of this disorder and its nonspecific clinical course. A primigravida woman visited our hospital with severe abdominal pain at 34 weeks of gestation. Emergency cesarean section was carried out due to development of fetal distress and severe abdominal pain. During the cesarean section, we noticed the uterus was rotated 180 degrees and the torsion was corrected after the delivery by making a vertical incision at the posterior uterine wall. High degree of suspicion and prompt management are important factors contributing to good prognosis of uterine torsion.

Keyword

Uterus; Torsion; Pregnancy

MeSH Terms

Abdominal Pain
Cesarean Section
Diagnosis
Emergencies
Female
Fetal Distress
Humans
Pregnancy
Pregnancy Trimester, Third*
Prognosis
Uterus

Figure

• 

  Fig. 1 Posterior longitudinal uterine incision was performed. After uterine detorsion, returning to its normal anatomic position. An asterisk (∗) indicates posterior part of the uterus. The left of the image is the left site of the patient.

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