Uterine torsion – the rare compliation of pregnancy

Czech version

Authors: J. Skřenková; Tomáš Fait; A. Doležal
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in: Ceska Gynekol 2009; 74(3): 233-235

Overview

Objective:
To give attention to the rare compliation of pregnancy.

Design:
Case strory.

Setting:
Dept. of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University and General Faculty Hospital Prague.

Subject and method:
We ilustrate risks and resolvings of the uterine torsion during labor on own unrecognized case. It induced the caesarean section delivery. We review possible diagnostic signs and management of this rare complication from literature.

Conclusion:
Uterine torsion is the rare complication of pregnancy. Uterine torsion could be cause of dystokia. The solution is based on caesarean section.

Key words:
uterine torsion, pregnancy.

Sources

1. Carbonne, B., Cabrol D., Viltart JP., Papiernik E. Torison de lęuterus gravide. J Gynecol Obstet Biol Reprod, 1994, 23, p. 717.

2. Cindr, J., Čepický, P. Torze těhotné dělohy následovaná děložní inverzí během císařského řezu. Čs Gynek, 1989, 54, 9, s. 690-692.

3. Drost, M. Complications during gestation in the cow. Theriogenology, 2007, 68, p. 487-491.

4. Gabor, C., Pal, V. Torsio uteri gravidi. Orv Hetil, 1976, 117, p. 2617-2618.

5. Guié, P., Adjobi, R., N’guessan, E., et al. Uterine torsion with maternal death. Clin Exp Obstet Gynecol, 2005, 32, 4, p. 245-246.

6. Hart, PG., Van Os, WAA. Axiale torsie van de uterus tijdens de graviditeit. Ned Tijdschr Verlosk Gynaecol, 1967, 67, p. 305-321.

7. Chudoba, V. Příspěvek ke kazuistice torquované gravidní dělohy. Čs Gynek, 1950, 15, p. 197-200.

8. Jansen, JG. Uterine torsion in pregnancy. Acta Obstet Gynecol Scand, 1992, 71, p. 260-265.

9. Kim, SK., Chung, JE., Bai, SW., et al. Torsion of pregnant uterus. Yonsei Med J, 2001, 42, 2, p. 267-269.

10. Legerlotz, C. Die Uterus achsendrehung Wahrend der Schwangerschaft. Geburst Fr. 1970, 30, S. 49-61.

11. Nesbitt, REL., Corner, GW. Torsion of the human pregnant uterus. Obstet Gynecol Surv, 1956, 11, p. 311-332.

12. Picone, O., Fubini, E., Doumerc, S., Frydman, R. Caesarean delivery by posterior hysterotomy due to tosion of the pregnant uterus. Obstet Gynecol, 2006, 107, p. 533-535.

13. Richter, J., Gotze, R. Tiergeburtshilfe. Paul Parey, Berlin and Hamburk, 1978, S. 921.

14. Salani, R., Theiler, RN., Lindsay, M. Uterine torsion and fetal bradykardia associated with external cefalic version. Obstet Gynecol, 2006, 108, p. 820-822.

15. Sparic, R., Pervulov, M., Stefanovic, A., et al. Uterine torsion in term pregnancy. Srp Arh Celok Lek, 2007, 135, 9-10, p. 572-575.

16. Torbjorn, P., Tore, JM. Asymptomatic torsion of the pregnant uterus. Acta Eur Fertil, 1992, 23, 4, p. 185-186.