Uterine torsion of 720 degrees in the third trimester of pregnancy and accompanying bladder torsion: a case report

Kılıççı, Çetin; Sanverdi, Ilhan; Abide, Çiğdem Yayla; Eser, S

doi:10.11604/pamj.2018.29.175.14101

Cited by 20 publications

(17 citation statements)

References 7 publications

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“…Diagnosis of uterine torsion is difficult with ultrasound alone. Suspicion for uterine torsion is usually seen when comparing previous ultrasounds and observing changes in anatomic location of pelvic structures 4–6. Our patient, unfortunately, did not have a prior ultrasound for comparison, and CT imaging plus laparotomy were used for diagnosis.…”

Section: Discussionmentioning

confidence: 86%

Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman

Chua¹,

Patel

Eana

et al. 2019

BMJ Case Rep

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Uterine torsion is an uncommon entity that is defined as a rotation of greater than 45° around the longitudinal axis of the uterus. Although cases of uterine torsion among pregnant patients have been mentioned in the literature, torsion of a non-gravid uterus is a rare occurrence. A 73-year-old nulliparous woman with a known fibroid uterus underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy with frozen section of a 17–18 cm pelvic mass seen on CT imaging. The source of the pelvic mass was unclear on imaging, and benign and malignant possibilities were discussed. During the procedure, necrosis of the uterine fundus and bilateral adnexa were seen due to the fundus being torsed with the uterine fibroid being the pivot point. Uterine torsion, though rare, can be the cause of acute pelvic pain in a postmenopausal woman.

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Section: Discussionmentioning

confidence: 86%

Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman

Chua¹,

Patel

Eana

et al. 2019

BMJ Case Rep

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“…The operation was complicated by uterine atony and B lynch compression sutures were done. The patient was discharged home with her baby at day three postop [17]. Another case of 180 degrees uterine torsion happened in a preterm 30 weeks pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic shock due to irreducible uterine torsion in a third trimester twin pregnancy: A case report

Darido¹,

Fesquet²,

Diari³

et al. 2020

Clin J Obstet Gynecol

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Uterine torsion is a rare life-threatening event that happens at any age or any gestational age. By defi nition, it consists of a rotation of more than 45 degrees around the long axis of the uterus. The reported cases have variable presentations. The uterine torsion can happen without any sequelae either for the fetus or the mother. However, fetal and maternal mortalities were also reported in such a case We hereby, report the case of a 29-year-old female patient, with previous four Normal Vaginal Deliveries, pregnant with twins, presenting at 36 weeks gestation with an irreducible uterine torsion at the third trimester of her pregnancy complicated by maternal and fetal deaths. We concluded that the prognosis is improved as long as the management is done rapidly. More data is needed to know about the genetic predilection and the characteristics of imaging workup for a rapid preoperative diagnosis of this condition.

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“…Myoma and pregnancy have adverse effects on each other, and the most serious effect is uterine torsion. [3][4][5] A study by Huang et al 6 revealed that the occurrence of uterine torsion in the third trimester of pregnancy may be correlated with an abnormal fetal position, older maternal age, and uterine ligament relaxation.…”

Section: Causes Of Uterine Torsion During Gestationmentioning

confidence: 99%

Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature

et al. 2020

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This study was performed to describe the clinical features, risk factors, and treatment methods of uterine torsion in pregnancy. The most common symptoms are abdominal pain, fetal heart rate changes, and failure of cervical dilatation and are often accompanied by complete or partial placental abruption. Preoperative diagnosis is challenging even with the use of ultrasound. Uterine torsion in the third trimester is correlated with the presence of multiple uterine fibroids. The causes of gravid uterine torsion vary and the clinical manifestations are nonspecific. Early diagnosis and improved detection approaches are the keys to treatment of patients with uterine torsion. However, the preoperative diagnosis remains difficult and the diagnosis is often made during cesarean section.

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Uterine torsion of 720 degrees in the third trimester of pregnancy and accompanying bladder torsion: a case report

Cited by 20 publications

References 7 publications

Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman

Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman

Hemorrhagic shock due to irreducible uterine torsion in a third trimester twin pregnancy: A case report

Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature

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