title: Complete axial torsion of pregnant uterus with leiomyoma.
abstract: Uterine torsion is defined as a rotation of the uterus of more than 45° along its long axis. It is a rare complication during pregnancy; a common cause of torsion can be uterine myoma. Here we describe the case of a 27-year-old G2P1+0 woman at 15 weeks 3 day pregnancy, who presented to our outpatient department as a case of acute abdomen, in a state of shock. Clinical findings did not correlate with investigation. On lapratomy she was diagnosed as a case of complete axial torsion of pregnant uterus with fundal myoma with massive abruption. Early diagnosis and timely intervention would help in improving both maternal and fetal outcome.
authors.affiliation: Department of Obstetrics and Gynaecology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Rekha
authors.initials: R
authors.lastname: Sachan
authors.affiliation: Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: M L
authors.initials: ML
authors.lastname: Patel
authors.affiliation: Department of Physiology, Career Institute of Medical Science, Lucknow, Uttar Pradesh, India.
authors.forename: Pushpalata
authors.initials: P
authors.lastname: Sachan
authors.affiliation: Department of Obstetrics and Gynaecology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Anubha
authors.initials: A
authors.lastname: Arora
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005313:Fetal Death; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D011252:Pregnancy Complications, Neoplastic; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000175:diagnosis* / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications*