Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case report
Uterine torsion during pregnancy is a rare obstetrical complication that can be life-threatening for both mother and child. Although torsion usually presents with acute, non-specific symptoms, it can also occur without any symptoms and pose no immediate health threat. Ultimately, the diagnosis of to...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911222000558 |
| _version_ | 1811196729225117696 |
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| author | Matthias Boogaerts Kathleen Wuyts Henri Joos |
| author_facet | Matthias Boogaerts Kathleen Wuyts Henri Joos |
| author_sort | Matthias Boogaerts |
| collection | DOAJ |
| description | Uterine torsion during pregnancy is a rare obstetrical complication that can be life-threatening for both mother and child. Although torsion usually presents with acute, non-specific symptoms, it can also occur without any symptoms and pose no immediate health threat. Ultimately, the diagnosis of torsion is often made only during cesarean section.We present a case of a patient who underwent two successive cesarean sections through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion in both cases. During the first cesarean section an incision was inadvertently made in the posterior segment of the uterus. At the second cesarean section the degree of rotation was very different and an anterior hysterotomy was performed. The patient made an uneventful recovery after both deliveries.If access to the lower anterior uterine segment is not safely available due to uterine torsion, a hysterotomy in the lower posterior uterine segment can be performed. The risk of rupture of a posterior hysterotomy scar in future pregnancies is unclear. |
| first_indexed | 2024-04-12T01:03:53Z |
| format | Article |
| id | doaj.art-cde9f74ded1b4b8bac813513b48ffc07 |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-04-12T01:03:53Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-cde9f74ded1b4b8bac813513b48ffc072022-12-22T03:54:20ZengElsevierCase Reports in Women's Health2214-91122022-10-0136e00435Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case reportMatthias Boogaerts0Kathleen Wuyts1Henri Joos2Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium; Corresponding author at: University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium.Department of Obstetrics and Gynaecology, Heilig-Hart Hospital Lier, Lier, BelgiumDepartment of Obstetrics and Gynaecology, Heilig-Hart Hospital Lier, Lier, BelgiumUterine torsion during pregnancy is a rare obstetrical complication that can be life-threatening for both mother and child. Although torsion usually presents with acute, non-specific symptoms, it can also occur without any symptoms and pose no immediate health threat. Ultimately, the diagnosis of torsion is often made only during cesarean section.We present a case of a patient who underwent two successive cesarean sections through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion in both cases. During the first cesarean section an incision was inadvertently made in the posterior segment of the uterus. At the second cesarean section the degree of rotation was very different and an anterior hysterotomy was performed. The patient made an uneventful recovery after both deliveries.If access to the lower anterior uterine segment is not safely available due to uterine torsion, a hysterotomy in the lower posterior uterine segment can be performed. The risk of rupture of a posterior hysterotomy scar in future pregnancies is unclear.http://www.sciencedirect.com/science/article/pii/S2214911222000558PregnancyUterine torsionCesarean sectionPosterior hysterotomyHysterotomy scar |
| spellingShingle | Matthias Boogaerts Kathleen Wuyts Henri Joos Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case report Case Reports in Women's Health Pregnancy Uterine torsion Cesarean section Posterior hysterotomy Hysterotomy scar |
| title | Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case report |
| title_full | Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case report |
| title_fullStr | Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case report |
| title_full_unstemmed | Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case report |
| title_short | Two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion. A case report |
| title_sort | two successive cesarean deliveries through separate posterior and anterior hysterotomy due to asymptomatic uterine torsion a case report |
| topic | Pregnancy Uterine torsion Cesarean section Posterior hysterotomy Hysterotomy scar |
| url | http://www.sciencedirect.com/science/article/pii/S2214911222000558 |
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