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Updated: Jul 9, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
[Uterine torsion in term pregnancy]
Srpski Arhiv Za Celokupno Lekarstvo
|December 20, 2007
Summary
Uterine torsion, a rare obstetric emergency, presents with nonspecific symptoms, making diagnosis challenging. Prompt diagnosis and surgical intervention are crucial for maternal and fetal well-being.
Area of Science:
- Obstetrics and Gynecology
- Surgical Pathology
Background:
- Uterine torsion, defined as >45 degrees rotation of the uterus, has an unclear etiology and poses diagnostic challenges due to nonspecific symptoms.
- Early diagnosis is critical to reduce maternal and fetal morbidity and mortality.
Observation:
- A 31-year-old patient presented with intrauterine fetal demise at 40 weeks gestation.
- Physical examination and ultrasound were inconclusive for placenta previa, but revealed a soft tissue mass.
- Intraoperative findings confirmed 180-degree uterine torsion and a stillborn male fetus.
Findings:
- The patient underwent a cesarean section, revealing uterine torsion.
- Placental examination showed a fibrosing and calcified accessory lobe, potentially indicating a prior twin pregnancy.
Implications:
- Clinical diagnosis of uterine torsion is difficult; MRI is the preferred diagnostic method.
- Emergency laparotomy with detorsion and removal of anatomical causes is indicated.
- Preventive measures like round ligament plication warrant further investigation for recurrent torsion.
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