title: A rare obstetric emergency: acute uterine torsion in a 32-week pregnancy.
abstract: Uterine torsion is rare in pregnancy and the cause in most cases is unknown. It is associated with fetal compromise, with perinatal mortality reported to be around 12%. Our case describes an acute torsion, presenting in pregnancy with severe abdominal pain and vomiting with a viable 32-week gestation. Emergency caesarean section was performed and the 180° uterine torsion was diagnosed intraoperatively. Posterior hysterotomy was required for delivery prior to detorsion of the uterus. This report describes that prompt recognition and intraoperative vigilance can achieve a successful maternal and fetal outcome in this rare and difficult obstetric scenario.
authors.affiliation: Department of Maternity, Royal Shrewsbury Hospital, Shrewsbury, UK.
authors.forename: Karen Louise
authors.initials: KL
authors.lastname: Moores
authors.forename: Matthew G
authors.initials: MG
authors.lastname: Wood
authors.forename: Richard P
authors.initials: RP
authors.lastname: Foon
mesh_terms: D000328:Adult; D017604:Cesarean Section, Repeat / Q000379:methods*; D005260:Female; D006801:Humans; D020883:Hysterotomy / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011263:Pregnancy Trimester, Third; D014102:Torsion Abnormality / Q000601:surgery*; D014591:Uterine Diseases / Q000601:surgery*
references.citation: Srp Arh Celok Lek. 2007 Sep-Oct;135(9-10):572-5
references.pmid: 18088045
references.citation: Acta Obstet Gynecol Scand. 1987;66(1):85-6
references.pmid: 3604597
references.citation: Can Med Assoc J. 1973 Nov 17;109(10):1010-1
references.pmid: 4758858
references.citation: J Comput Assist Tomogr. 1994 Mar-Apr;18(2):272-4
references.pmid: 8126281
references.citation: Eur J Obstet Gynecol Reprod Biol. 1989 Jun;31(3):273-5
references.pmid: 2666183
references.citation: Case Rep Obstet Gynecol. 2011;2011:206418
references.pmid: 22567496
references.citation: Clin Exp Obstet Gynecol. 2005;32(4):245-6
references.pmid: 16440824
references.citation: J Obstet Gynaecol Can. 2006 Jun;28(6):531-535
references.pmid: 16857121
references.citation: Obstet Gynecol Surv. 1956 Jun;11(3):311-32
references.pmid: 13335050