Successful management of a recurrent 180° uterine torsion: a rare case report. Issue 8 (23rd August 2022)

• Record Type: Journal Article
• Authors: Mansour, Marah; Alchihan, Soulafa; AlKhrait, Samar; Alhouda, Amro Alam; Zrik, Abdulaziz; Hussien, Khaled
• Is Part Of: Journal of surgical case reports. Volume 2022:Issue 8(2022)
• Publication Date: 2022-08-23
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjac373
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Uterine torsion (UT) is one of the most uncommon obstetric complications. It usually occurs in the third trimester. The confirmed diagnosis relies on > 45° rotation at the utero-cervical junction around its longitudinal axis. The etiology is unknown in 20% of cases. It might be asymptomatic in some rare cases; however, symptoms usually manifest with acute abdominal pain, fetal bradycardia, vaginal bleeding or failure of labor progress. Laparotomy is used to establish the diagnosis and the management of UT. We report a 180° uterine dextrotorsion case of an obese 24-year-old pregnant female who presented with severe abdominal pain at the 35th gestational week, which was diagnosed and managed by an emergency laparotomy. UT is a rare though serious condition and must be doubted before a suspicious clinical image. Therefore, it is suggested to avoid consecutive pregnancies and the resultant uterine rupture.