title: Torsion of a Term Uterus.
abstract: Torsion of the pregnant uterus, at term, is a very rare event in obstetric practice. It is associated with high perinatal mortality. We are reporting a case of uterine torsion, where a booked second gravida with previous lower segment cesarean section underwent an emergency cesarean section due to severe lower abdominal pain, persistent fetal tachycardia and poor Bishop Score. Following delivery of baby and placenta, uterus untwisted on itself through 180 degrees and it was realized that the incision had been made on the posterior wall of the uterus. Bilateral tubal ligation (BTL) was done after proper informed consent. This decision was based on unavailability of data on safety of future pregnancies in patients with both anterior and posterior uterine scars. Efforts need to be made to develop consensus for management of these cases, in future.
authors.affiliation: Department of Obstetrics and Gynaecology, Fatima Memorial College of Medicine and Dentistry, Lahore.
authors.forename: Farhat Ul Ain
authors.initials: FU
authors.lastname: Ahmed
authors.affiliation: Department of Obstetrics and Gynaecology, Fatima Memorial College of Medicine and Dentistry, Lahore.
authors.forename: Afshan
authors.initials: A
authors.lastname: Ambreen
authors.affiliation: Department of Obstetrics and Gynaecology, Fatima Memorial College of Medicine and Dentistry, Lahore.
authors.forename: Sobia
authors.initials: S
authors.lastname: Zubair
authors.affiliation: Department of Obstetrics and Gynaecology, Fatima Memorial College of Medicine and Dentistry, Lahore.
authors.forename: Noori
authors.initials: N
authors.lastname: Kiran
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D014102:Torsion Abnormality / Q000150:complications* / Q000601:surgery; D014591:Uterine Diseases / Q000150:complications* / Q000601:surgery