Torsion of gravid horn of bicornuate uterus: a rare case report

Chundawat, Rama Singh; Radha, R; Tak, Apoorva

doi:10.18203/2320-1770.ijrcog20162141

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2018

2023

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“… 3 A bicornuate uterus is also a risk factor for uterine torsion. 4–6 This may be due to unilateral muscular attachments providing decreased stability and allowing increased mobility which puts the uterus at increased risk of torsion. 5 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Uterine torsion and subsequent rupture in a gravid bicornuate uterus associated with an elevated alpha-fetoprotein

LaHood¹,

You

2018

BMJ Case Reports

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Uterine torsion is a rare obstetric complication with a non-specific presentation. We describe a patient with a bicornuate uterus and a pregnancy complicated by a markedly elevated second-trimester maternal serum alpha-fetoprotein (MSAFP), intermittent pelvic pain and fetal growth restriction. At 24 weeks gestational age, she presented to labour and delivery with an acute abdomen. A subsequent exploratory laparotomy revealed torsion and rupture of her right uterine horn. Uterine torsion can be difficult to diagnose because it is not associated with specific symptoms or characteristic imaging findings. In patients with a bicornuate uterus who present with abdominal pain, an elevated mid-trimester MSAFP may be a harbinger of placental ischaemia as a result of uterine torsion.

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Section: Discussionmentioning

confidence: 99%

“…But consistent with our case, the torsion occurred between 21 and 33 weeks of gestation. 4–6 Thus, it seems that women with bicornuate uteri are at greatest risk of torsion during the mid-trimester.…”

Section: Discussionmentioning

confidence: 99%