Cesarean Section from posterior wall of uterus?????

Abstract

Torsion of the pregnant uterus, at term, is a very rare event in obstetric practice. It is associated with high perinatal mortality but in our case report the torsion remained asymptomatic till 3 rd trimester. We report a case of singleton term pregnancy of 38 weeks in breech position, with mild polyhydramnios and expected baby weight of 3.7 kg. Caesarean section through the posterior uterine wall necessitated by 180 ~ dextrorotation of uterus with facing anterior. Intraoperative findings show that left sided tubes and varies were pulled up towards right side; bladder and utero-vesical fold could not be identified. Baby was in transverse lie with back posterior and was delivered by breech extraction. Baby did not cry immediately but cried after resuscitation. Baby APGAR score was good and baby weight was 3.6 kg.