Torsion in Uterus: An Obstetrical and Gynaecological Emergency

Abstract

Uterine torsion is defined as torsion of the uterus along its longitudinal axis greater than 45 degrees. It is observed in all age groups of the reproductive period, in all parity groups, and at all stages of pregnancy. Torsion from 60 degrees to 720 degrees has been described. It is not possible to clarify why it occurs, but numerous abnormalities have appeared with uterine torsion. It is a rare complication that can result in placental abruption and intrauterine foetal death. Pregnancy, giant fibroids, and ovarian cysts are among the most common causes. Vague clinical attributes make diagnosis challenging pre-operatively and can be missed on routine ultrasound. Being a rare life-threatening condition, it necessitates a high level of concern for diagnosis and prompt intervention to optimise results. This review will help the healthcare worker to understand the various presentation of uterine torsion and their management by appropriately and timely diagnosing it.

Do Not Get Your Uterus Twisted: A Case Report of a 180-Degree Torsion of Term Gravid Uterus and a Review of the Literature

“…Future research can help in further understanding and identifying possible preventable risk factors. It is important to keep uterine torsion in the differential for a gravid patient presenting with abdominal pain [35]. Education surrounding intraoperative recognition and including observing the normal anatomy intraoperatively in patients undergoing cesarean section could decrease the incidence of posterior hysterotomy.…”