Classical caesarean section through the posterior uterine wall.
We report a case of myomectomy and classical caesarean section through the posterior uterine wall necessitated by 180 degrees dextro-rotation of a gravid uterus with large fibroids. The non-specific clinical course and rarity of pathological torsion of the gravid uterus makes the preoperative diagnosis difficult. Ultrasound recognition antenatally of a fibroid changing its position should help with the prediction preoperatively of uterine rotation.
Bolaji
I I
II
Department of Obstetrics/Gynaecology, University College Hospital, Galway.
Rafla
N M
NM
Mylotte
M J
MJ
D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D014102:Torsion Abnormality; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*