Asymptomatic torsion of the pregnant uterus

This case report describes a woman who was admitted to the hospital one week before term to an elective cesarean section because of two previously cesarean sections. Her present pregnancy was uneventful, the CTG on admission was normal. During the operation preformed in epidural anesthesia the uterus was found to have rotated 180 degrees to the right. It was easily rotated back to its normal position before a transversal incision was made in the lower uterine segment. A healthy female infant was delivered. Further the authors describes the role of ultrasound in making the diagnosis. The list various symptoms and etiologies. The authors emphasize the importance of reconstructing the normal anatomy making the uterine incision in order not to damage the uterine vessels.