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Updated: Jul 19, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Uterine torsion and fetal bradycardia associated with external cephalic version
Ritu Salani1, Regan N Theiler, Michael Lindsay
1Department of Gynecology and Obstetrics, Emory University at Grady Health Systems, Atlanta, GA 30303, USA.
Background:
Torsion of the gravid uterus is a rare obstetric complication in humans, but has been reported in association with malpresentation and with uterine leiomyomata.
Case:
We report a case of uterine torsion diagnosed at emergency cesarean delivery after external cephalic version with prolonged fetal bradycardia.
Conclusion:
Physicians should be aware of the possibility of uterine torsion as a complication of external cephalic version. To minimize diagnostic delay, placental localization on ultrasonography should be noted before and after external cephalic version as an indicator of uterine orientation.
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