Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean section
Torsion of gravid uterus is a rare event and most commonly recognised at caesarean section either prior to incision or after delivery of the fetus. Difficulties are reported regarding its in recognition, predisposing factors and etiology. A 31 years old primigravida with history of primary infertili...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2022-07-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/09180.pdf |
| _version_ | 1797903485136535552 |
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| author | Papa Dasari Bhagyashree A Gundagurthi Priyanka R |
| author_facet | Papa Dasari Bhagyashree A Gundagurthi Priyanka R |
| author_sort | Papa Dasari |
| collection | DOAJ |
| description | Torsion of gravid uterus is a rare event and most commonly recognised at caesarean section either prior to incision or after delivery of the fetus. Difficulties are reported regarding its in recognition, predisposing factors and etiology. A 31 years old primigravida with history of primary infertility who conceived by IVF-ET was hospitalised for early onset severe hypertension at 31 weeks. She underwent caesarean section at 37 weeks and a transverse lower segment incision was performed and baby was delivered by vertex. Placenta did not separate for 20 minutes and was found to be morbidly adherent. After manual removal of the placenta and suturing the incision, it was found to be surprising that the incision was on the left anterolateral wall of the uterus. The uterus was torted in clockwise direction for 900at cervico-isthmical junction. On review of the literature we found that the report of change in placental location on USG may give a clue for suspecting torsion gravid uterus pre-operatively and this finding was documented in the case record as per the serial USG monitoring. |
| first_indexed | 2024-04-10T09:33:44Z |
| format | Article |
| id | doaj.art-efee3c6d6a10430a858e02ffd8000d0e |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-04-10T09:33:44Z |
| publishDate | 2022-07-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-efee3c6d6a10430a858e02ffd8000d0e2023-02-18T12:51:12ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422022-07-019118018310.21276/obgyn.2022.9.1.34Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean sectionPapa Dasari0Bhagyashree A Gundagurthi 1Priyanka R2Senior Professor, Department of OBGY, JIPMER, Puducherry, IndiaJunior Resident,Department of OBGY, JIPMER, Puducherry, IndiaJunior Resident, Department of OBGY, JIPMER, Puducherry, IndiaTorsion of gravid uterus is a rare event and most commonly recognised at caesarean section either prior to incision or after delivery of the fetus. Difficulties are reported regarding its in recognition, predisposing factors and etiology. A 31 years old primigravida with history of primary infertility who conceived by IVF-ET was hospitalised for early onset severe hypertension at 31 weeks. She underwent caesarean section at 37 weeks and a transverse lower segment incision was performed and baby was delivered by vertex. Placenta did not separate for 20 minutes and was found to be morbidly adherent. After manual removal of the placenta and suturing the incision, it was found to be surprising that the incision was on the left anterolateral wall of the uterus. The uterus was torted in clockwise direction for 900at cervico-isthmical junction. On review of the literature we found that the report of change in placental location on USG may give a clue for suspecting torsion gravid uterus pre-operatively and this finding was documented in the case record as per the serial USG monitoring.https://journal.barpetaogs.co.in/pdf/09180.pdfunrecognised torsioncaesarean section |
| spellingShingle | Papa Dasari Bhagyashree A Gundagurthi Priyanka R Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean section New Indian Journal of OBGYN unrecognised torsion caesarean section |
| title | Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean section |
| title_full | Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean section |
| title_fullStr | Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean section |
| title_full_unstemmed | Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean section |
| title_short | Uterine incision on left antero-lateral wall of the uterus due to unrecognised torsion at caesarean section |
| title_sort | uterine incision on left antero lateral wall of the uterus due to unrecognised torsion at caesarean section |
| topic | unrecognised torsion caesarean section |
| url | https://journal.barpetaogs.co.in/pdf/09180.pdf |
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