Torsion of gravid horn of bicornuate uterus: a rare case report

Authors

  • Rama Singh Chundawat Department of Obstetrics and Gynaecology, RNT Medical College, Udaipur, Rajasthan, India
  • Radha Rastogi Department of Obstetrics and Gynaecology, RNT Medical College, Udaipur, Rajasthan, India
  • Apoorva Tak Department of Obstetrics and Gynaecology, RNT Medical College, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162141

Keywords:

Torsion uterus, Bicornuate uterus, Mullerian anomalies

Abstract

Torsion uterus is a rare complication of the third trimester of pregnancy. Etiological factors associated are myoma, mullerian anomalies, ovarian cyst, sudden change of lie of fetus and trauma. We report a rare case of levorotation of the gravid horn of bicornuate uterus leading to severe abruption and intrauterine death of the fetus. The case was managed by an emergency laparotomy with excision of the atonic gravid horn of bicornuate uterus. This is the third such case reported in the English literature as per our knowledge.

References

Marshall LM, Spiegelman D, Barbieri RL, Goldman MB, Manson JE, Colditz GA, et al. Variation in the incidence of uterine leiomyoma among premenopausal women by age and race. Obstet Gynecol. 1997;90:967-73.

Jain U, Agarwal SP. Torsion of gravid horn of bicornuate uterus. Journal of the Indian Medical Association. 1986;84:222-8.

Jain M, Tripathi R, Jain S, Verma A, Bajpai N. Spontaneous rupture of bicornuat uterus caused by levorotation due to congenital band. Nepal Journal of Obstetrics and Gynaecology. 2013;8:57-9.

Jensen JG. Uterine torsion in pregnancy. Acta Obstetricia at gynecologica Scandiavia. 1992;71:260-5.

Sherer DM, Smith SA, Sanko SR. Uterine sacculation sonographically mimicking an abdominal pregnancy at 20 weeks gestation. Am J Perinatology. 1994;11:350.

Nicholson WK, Coulson CC, Mc Coy MC. Pelvic MRI in evaluation of uterine torsion. Obstetrics and gynaecology. 1995;85(5):888-90.

Downloads

Published

2017-02-23

Issue

Section

Case Reports