2020
DOI: 10.1097/ogx.0000000000000767
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Torsion in the Gravid and Nongravid Uterus: A Review of the Literature of an Uncommon Diagnosis

Abstract: Importance Uterine torsion is an uncommon but life-threatening clinical situation that requires a high index of suspicion for diagnosis. Objective The aim of this study was to review literature and determine the etiology, presentation, diagnosis, and management of uterine torsion in the gravid and nongravid patients. Evidence Acquisition A literature search was undertaken by our research librarian using the … Show more

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Cited by 6 publications
(8 citation statements)
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“…It is an obstetric emergency as fetal morbidity and mortality rates are high if diagnosis and delivery are delayed. Unfortunately, diagnosing uterine torsion in pregnancy can be difficult as most women present with non-specific symptoms such as abdominal pain, vaginal bleeding, decreased fetal movements, syncopal episodes, and nausea and vomiting 3. One-third of them can be asymptomatic 1.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It is an obstetric emergency as fetal morbidity and mortality rates are high if diagnosis and delivery are delayed. Unfortunately, diagnosing uterine torsion in pregnancy can be difficult as most women present with non-specific symptoms such as abdominal pain, vaginal bleeding, decreased fetal movements, syncopal episodes, and nausea and vomiting 3. One-third of them can be asymptomatic 1.…”
Section: Discussionmentioning
confidence: 99%
“…It is rare and may occur at any stage of life but more commonly during pregnancy as the physiological rotation of the uterus is more distinct in pregnancy. The aetiology of uterine torsion remains unclear and diagnosing uterine torsion in pregnancy can be difficult due to the non-specific clinical presentation 3. Recognition and prompt management of uterine torsion in pregnancy are however vital as maternal and fetal well-being can be compromised if management is delayed 4.…”
Section: Introductionmentioning
confidence: 99%
“…Mild-to-severe abdominal pain accompanied by neurologic or hypovolemic shock is the most common feature, as seen here. Vaginal bleeding, nausea and vomiting, hemodynamic instability, uterine hypertonicity, increased fundal height, decreased fetal movements, fetal distress, intrauterine fetal death, obstructed labor, and dystocia are other possible manifestations [ 31 , 32 ]. Surprisingly, our patient had fulfilled almost all these symptoms (hemodynamic instability, nausea and vomiting, severe acute abdominal pain, uterine hypertonicity, increased fundal height, and fetal distress).…”
Section: Discussionmentioning
confidence: 99%
“…The diagnosis is difficult and almost always occurs during laparotomy [ 8 , 33 ], as this patient was transferred to operating room with presumed diagnose of severe occult placental abruption. However, imaging modalities such as ultrasound, computed tomography, or magnetic resonance imaging can facilitate diagnosis before surgery [ 31 , 34 , 35 ]. Nevertheless, because uterine torsion presents as an obstetrical emergency, definite diagnosis is almost always delayed until surgery time and there is not enough time to perform any imaging modalities.…”
Section: Discussionmentioning
confidence: 99%
“…The etiology is not clear and various risk factors were reported such as fibroids, pelvic adhesions, ovarian cysts, anatomical alteration. [2][3][4] As the pregnancy progresses, physiological changes in the uterus are affected by many other factors, which can result in abnormal positions of the uterus.…”
Section: Introductionmentioning
confidence: 99%