Uterine torsion at term pregnancy associated with a previous pelvic organ prolapse (POP) surgery

Bağlı, İhsan; Erdem, Selami

doi:10.1080/01443615.2019.1615042

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…considering the incidence of multiple pregnancy and the rarity of UT relation was not clear. Four (10%) cases reported uterine congenital anatomical anomalies, 11,30,38,39 in one case the UT was in a patient with previous sacrohysteropexy 8 and, in one case, congenital connective tissue disorder could be implicated in the pathogenesis. 17 Despite the association of common pelvic pathology and uterine anomalies with UT, many case reports are available in literature without clear connection with identifiable pathology, 4 suggesting that additional influences must be present.…”

Section: Discussionmentioning

confidence: 96%

Uterine torsion and intrauterine growth restriction: Case report and systematic literature review

Ferrari

Negri

et al. 2021

J of Obstet and Gynaecol

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Purpose: Uterine torsion (UT) in pregnancy is a rare condition in obstetric practice. It is defined as a rotation of the uterus of more than 45 around its long axis. Presentations are varied and, most of the time, this condition is recognized at laparotomy or cesarean section (CS). The aim of this study is to summarize the latest evidence about UT in pregnancy. Methods: A systematic research of the literature was conducted fetching all papers published from March 2006 to June 2020. We collected data regarding clinical features, treatment, and feto-maternal outcomes. Finally, we reported data of a case of UT associated with intrauterine growth restriction (IUGR) diagnosed and treated at our institution. Results: According to our search strategy, 38 articles were included. In 66% of the cases, acute symptomatology was present at the onset, most frequently abdominal pain was reported. In one-third of the cases, UT was diagnosed during CS without clinical suspicion. Only in two cases, including our case, IUGR was reported. Most (66%) of the cases presented a 180 torsion. In the majority of the cases, a CS was performed also with a deliberate or accidental posterior hysterotomy. One and six cases of maternal and fetal death were, respectively, reported. Conclusion: UT is an infrequent obstetric condition but should be considered in case of abdominal pain, vomiting, or shock presentation during pregnancy. It could lead to a reduction in uterine blood flow contributing to poor placental perfusion, even though more evidence is needed to clarify this link.

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