Uterine torsion and fetal bradycardia associated with external cephalic version.
BACKGROUND
Torsion of the gravid uterus is a rare obstetric complication in humans, but has been reported in association with malpresentation and with uterine leiomyomata.


METHODS
We report a case of uterine torsion diagnosed at emergency cesarean delivery after external cephalic version with prolonged fetal bradycardia.


CONCLUSIONS
Physicians should be aware of the possibility of uterine torsion as a complication of external cephalic version. To minimize diagnostic delay, placental localization on ultrasonography should be noted before and after external cephalic version as an indicator of uterine orientation.
Salani
Ritu
R
Department of Gynecology and Obstetrics, Emory University at Grady Health Systems, Atlanta, GA 30303, USA.
Theiler
Regan N
RN
Lindsay
Michael
M
D000328:Adult; D001919:Bradycardia / Q000209:etiology*; D001946:Breech Presentation / Q000000981:diagnostic imaging / Q000628:therapy; D002585:Cesarean Section; D005260:Female; D005315:Fetal Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D014102:Torsion Abnormality; D014463:Ultrasonography; D014591:Uterine Diseases / Q000175:diagnosis / Q000209:etiology*; D014710:Version, Fetal / Q000009:adverse effects*