Uterine torsion, a rare cause of acute abdominal pain in the third trimester of pregnancy: A case report

Nash, Kimberley; Oji, Victor C; Mitra, Surajit

doi:10.3109/01443615.2015.1133580

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…Table summarizes the design and publication date characteristics of the 105 included studies . Studies consisted of case reports/series (N = 62, 60%) and observational studies (N = 43, 40%), including cross sectional (N = 29), case‐controlled (N = 12), and cohort (N = 2) designs.…”

Section: Resultsmentioning

confidence: 99%

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

2019

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The Ehlers-Danlos syndromes (EDS) and associated hypermobility spectrum disorders (HSD) are a heterogenous group of connective tissue disorders associated with significant morbidity. The urogenital aspects of these disorders are understudied and there is little guidance on the prevalence, types, or outcomes of urogenital complications in EDS/HSD. Our objective was to perform a scoping review to characterize and synthesize the literature reporting urogenital and pelvic complications in EDS/HSD patients. We performed a systematic search of three databases (Medline, CINAHL, Embase) to January 2019. English language, full-text articles reporting on urogenital or pelvic complications in EDS/HSD were included. A total of 105 studies were included (62 case reports/series, 43 observational) involving patients with hypermobile (23%), vascular (20%), classical (12%) EDS, and HSD (24%). Some studies looked at multiple subtypes (11%) or did not report subtype (33%). Reported complications included urinary (41%), gynecological (36%), obstetrical (25%), renal (9%), and men's health problems (7%), with some studies reporting on multiple areas. Urinary and gynecological complications were most prevalent in patients with HSD, while a broad range of complications were reported in EDS. While further research is required, results suggest a higher index of suspicion for urogenital problems is probably warranted in this population.

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Section: Resultsmentioning

confidence: 99%

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

2019

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“…Due to the rarity of uterine torsion, it is difficult to study the actual epidemiology of this obstetric emergency [ 5 ]. While the definitive etiology remains elusive, risk factors have been identified, including abnormal fetal position, uterine ligament relaxation, uterine malformations, uterine fibroids, polyhydramnios, ovarian cysts, and pelvic adhesions [ 4 , 6 , 7 ]. However, this case falls under the 30% of cases that occur without discoverable cause [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Uterine torsion in a full-term pregnancy presenting as prolonged latent phase and fetal intolerance of labor: A case report

Huynh

Andersen

2021

Case Reports in Women's Health

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Background Uterine torsion is defined as torsion of the uterus around its longitudinal axis exceeding 45 degrees. It is a rare obstetric complication. It is a dangerous complication that can lead to placental abruption and intrauterine fetal death. Although rare, early diagnosis is crucial to expedite intervention and optimize outcomes. While the few cases in the current literature have documented acute presentations of uterine torsion, our case is unique in that it had a slower evolution. Case A 38-year-old woman, G2P0, was admitted at 37 weeks 0 days of gestation for induction of labor for gestational diabetes mellitus, pre-eclampsia, and maternal BMI of 60. Due to a prolonged latent phase of labor and fetal intolerance of labor, primary cesarean was recommended. Through a sub-umbilical approach, the uterus was dextro-rotated almost 180 degrees and blanched with engorged uterine vessels. A vertical uterine incision was made, and a asphyxiated female infant was delivered via breech extraction. APGAR scores were 2, 7, and 8. The infant required brief respiratory support following delivery. The postoperative course was uncomplicated, with normal recovery time. Conclusion Uterine torsion poses significant risk to both mother and fetus. The phenomenon is so rare that epidemiological data are difficult to gather. In our case, the presentation was gradual compared with the acute presentations that have been reported, which may mislead clinicians toward more benign diagnoses. Our case report aims to add to the literature on uterine torsion, providing a unique presentation, clinical features, and treatment.

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“…Uterine torsion may develop at any maternal age and gestation weeks during pregnancy without an underlying cause [6] . Uterine fibroids, adnexal masses, uterine anomalies, fetal presentation anomalies, polyhydramnios, maternal connective tissue elaxity have been reported to cause uterine torsion [7,8] . In our case; polyhydramnios associated with PIH with overt DM and presence of breech presentation might be risk factors for uterine torsion.…”

Section: Discussionmentioning

confidence: 99%

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

Phulpagar¹

2018

jmscr

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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.

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Uterine torsion, a rare cause of acute abdominal pain in the third trimester of pregnancy: A case report

Cited by 9 publications

References 9 publications

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

Uterine torsion in a full-term pregnancy presenting as prolonged latent phase and fetal intolerance of labor: A case report

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

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