A case of torsion of gravid uterus caused by leiomyoma.

Case Reports in Obstetrics and Gynecology
Gururaj DeshpandeManjuladevi P

Abstract

Uterine torsion during pregnancy is only sporadically reported in the literature. Here we present a case of leiomyoma causing uterine torsion in pregnancy and review the literature on etiology, diagnosis, and management. A 25-years-old primigravida with leiomyoma complicating pregnancy was admitted in our hospital with abdominal pain and uterine tenderness. She underwent emergency LSCS (lower segment cesarean section) for fetal bradycardia. Intraoperatively, the uterus was rotated 180 degrees left to right. Inadvertent incision on the posterior wall was avoided by proper delineation of anatomy. Torsion was corrected by exteriorization of leiomyoma and uterus, and lower segment cesarean was carried out safely. Prompt recognition and management of this condition is necessary for better maternal and fetal outcome.

References

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Citations

Jun 20, 2013·Case Reports in Obstetrics and Gynecology·Ernesto González-MesaCelia Cuenca
Dec 30, 2014·Case Reports in Obstetrics and Gynecology·S ZullinoE Ferrazzi
Feb 16, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Kimberley NashSurajit Mitra
Sep 7, 2014·BMJ Case Reports·Rekha SachanAnubha Arora

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Methods Mentioned

BETA
cesarean
cesarean section

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