A Rare Cause of Placental Abruption: Uterine Torsion
Uterine torsion is defined as a rotation on its long axis and it is a dangerous, unexpected obstetric emergency. We report a case of uterine torsion at 32 weeks of gestation in a singleton pregnancy. A 37-year-old woman with multiple prior cesarean deliveries referred to emergency unit of our hosp...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7071/16531_CE(RA1)_F(T)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Uterine torsion is defined as a rotation on its long axis and it is a dangerous, unexpected obstetric emergency. We report a case of
uterine torsion at 32 weeks of gestation in a singleton pregnancy. A 37-year-old woman with multiple prior cesarean deliveries referred to
emergency unit of our hospital at 32 weeks of gestation with severe abdominal pain and mild vaginal bleeding. Ultrasonography showed
a single fetus in vertex position, with a normal amniotic fluid. Fetal biometer was appropriate for 32 weeks of gestation. Placental location
was anterior with a subchorionic hypoechogenic small area which was suspected to be a sign of placental abruption. An emergency
cesarean section was performed under general anesthesia. The 180° uterine torsion was diagnosed and it was not possible to perform
detorsion of the gravid uterus by exteriorization by pfannenstiel incision. Posterior hysterotomy was performed and a male baby of 1830
grams weight was delivered. The newborn was transported to Neonatal Intensive Care Unit (NICU) of another hospital and discharged
within two weeks. Patient recovered well and was discharged on second postoperation day.
Uterine torsion is a very rare and life threatening situation. In unexpected cases posterior low transuerse hysterotomy is generally
performed and it is suggested as a safe choice when detorsion was not accomplished. It is not easy to keep in mind the possibility
of uterine torsion in cases of abdominal pain during pregnancy. Because it generally causes abruption, management of abruption is
vitally important to prevent fetal mortality. |
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| ISSN: | 2249-782X 0973-709X |