title: Classical caesarean section through the posterior uterine wall.
abstract: 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.
authors.affiliation: Department of Obstetrics/Gynaecology, University College Hospital, Galway.
authors.forename: I I
authors.initials: II
authors.lastname: Bolaji
authors.forename: N M
authors.initials: NM
authors.lastname: Rafla
authors.forename: M J
authors.initials: MJ
authors.lastname: Mylotte
mesh_terms: 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*