Gravid uterine torsion after prone positioning in SARS-CoV2 (COVID-19)-related acute respiratory distress syndrome. Issue 6 (24th June 2022)

• Record Type: Journal Article
• Authors: Hendriks, Bavo; van Uitert, Evelyne; Schoenmakers, Sam; Duvekot, Johannes J; Gommers, Diederik; Cornette, Jérôme M J
• Is Part Of: Journal of surgical case reports. Volume 2022:Issue 6(2022)
• Publication Date: 2022-06-24
• Subjects: uterine torsion -- pregnancy -- prone positioning -- acute respiratory distress syndrome -- SARS-CoV2 (COVID-19); Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjac289
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: A multiparous pregnant patient was admitted to the intensive care unit in her third trimester of pregnancy for prone positioning mechanical ventilation after developing SARS-CoV2 (COVID-19)-related acute respiratory distress syndrome. Repositioning in left lateral tilt was followed by uterine contractions and cardiotocography alterations. Preterm caesarean section was performed based on persistent foetal tachycardia and suspected foetal distress, followed by a per-operative diagnosis of uterine levotorsion. This case report is the first to explore a potential causal link between prolonged prone positioning in late pregnancy and postural gravid uterine torsion and highlights the need for appropriate foetal monitoring during prone positioning mechanical ventilation support.