Rare cause of abdominal pain in the third trimester: uterine torsion

Abstract

The occurrence of uterine torsion is rare, as the uterus is supported in place by the uterine ligaments. When occurring during pregnancy, it is associated with increased perinatal mortality and maternal morbidity. We report a case of uterine torsion in a 36-week pregnant woman with a history of one previous caesarean section who presented with acute abdominal pain and signs of fetal distress. A 180 degree uterine torsion was recognised during emergency caesarean section with detorsion done prior to delivery and the baby was delivered in good condition. This case highlights the importance of prompt recognition and decision-making in managing this rare obstetric emergency to achieve a successful maternal and foetal outcome.