Yonsei Med J.  2001 Apr;42(2):267-269. 10.3349/ymj.2001.42.2.267.

Torsion of the pregnant uterus

• Kim SK
• Chung JE
• Bai SW
• Kim JY
• Kwon HK
• Park KH
• Song CH

• KMID: 720620
• DOI: http://doi.org/10.3349/ymj.2001.42.2.267

Abstract

A 31-year-old woman, with a history of previous cesarean section and right oophorectomy, was admitted for a repeat cesarean section. After the commencement of surgery uterine torsion was diagnosed because of the anterior position of the remaining left ovary and tube, the absence of normal uterovesical peritoneum, and extremely engorged vessels in the lower uterine surface. Posterior classical hysterotomy was performed and a healthy female baby was delivered. Following delivery of the baby and suturing the incision site of the uterus, the contracted uterus was detorted and put back in the pelvic cavity. Extreme uterine torsion of 180 degrees at term is a rare obstetric event. This paper presents a case of uterine torsion at full term pregnancy in which the delivery and repositioning of the uterus was successful.

Keyword

Uterine torsion; cesarean section; hysterotomy

MeSH Terms

Adult
Case Report
Cesarean Section
Female
Human
Infant, Newborn
Pregnancy
Pregnancy Complications*
Torsion
Uterine Diseases/surgery
Uterine Diseases/physiopathology*
Uterine Diseases/etiology*