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Related Experiment Videos

Classical caesarean section through the posterior uterine wall.

I I Bolaji1, N M Rafla, M J Mylotte

  • 1Department of Obstetrics/Gynaecology, University College Hospital, Galway.

Irish Journal of Medical Science
|February 1, 1992
PubMed
Summary

This case study details a rare uterine torsion during pregnancy, requiring a complex myomectomy and C-section. Early ultrasound detection of fibroid changes may aid in predicting uterine rotation.

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Axial rotation of the non-gravid uterus through 1080 degrees (3 x 360 degrees ).

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2004

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Innovation

Background:

  • Pathological torsion of the gravid uterus is a rare obstetric emergency.
  • Large uterine fibroids can increase the risk of uterine malrotation.
  • Non-specific clinical presentation often complicates preoperative diagnosis.

Observation:

  • A 180-degree dextro-rotation of a gravid uterus with large fibroids was observed.
  • Surgical intervention involved myomectomy and classical cesarean section via the posterior uterine wall.
  • Preoperative diagnosis was challenging due to the rarity and non-specific symptoms.

Findings:

  • Successful surgical correction of uterine torsion and delivery were achieved.
  • The posterior uterine wall approach facilitated simultaneous myomectomy and cesarean delivery.

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  • Antenatal ultrasound identified a fibroid changing position, suggesting potential for predicting uterine rotation.

    • Implications:

    • This case highlights a unique surgical approach for managing uterine torsion with fibroids.
    • Improved antenatal surveillance for fibroid mobility may enhance diagnostic accuracy for uterine rotation.
    • Further research into risk factors and diagnostic markers for uterine torsion is warranted.