Uterine torsion in pregnancy, expect the unexpected: case report

Authors

  • Huda Nabihah Mokhtar Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Sumayyah Mohammed Faridz Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Rohana Ismail Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Nasuha Yaacob Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Roziana Ramli Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20203343

Keywords:

Inadvertent posterior uterine wall incision, Uterine torsion during pregnancy, 180 degrees uterine torsion, 360 degrees uterine torsion

Abstract

Uterine torsion in pregnancy is a rare condition, but potentially life-threatening. The non-specific clinical features make preoperative diagnosis difficult and most cases are discovered during caesarean deliveries done for other obstetric indications. Authors present 2 cases of uterine torsion with different clinical presentation and outcome. Case 1 was a G3P2 at 36 weeks with twin pregnancy presented in active labour with a prolapsed cord. A 180 degrees uterine torsion was discovered only after delivery of the foetuses, resulting in inadvertent posterior uterine wall incision. Case 2 was a G6P5 at 35 weeks who presented with an acute abdomen and went into shock. At laparotomy, a 360 degrees uterine torsion was discovered complicated with placental abruption, causing a fresh stillborn baby. These cases highlight uterine torsion as a rare but important diagnosis in obstetrics, which could be associated with potentially devastating outcome.


 

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Published

2020-07-23

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Case Reports