A case of uterine torsion in a 37-years-old woman during twin pregnancy is described. Diagnosis was made during caesarean section and the torsion successfully reduced through a standing laparotomy. Detorsion was accomplished by rotating the uterus to the left. A severe post-partum haemorrhage occurred and hysterectomy was required. The patient recovered and was discharged home with her baby. Uterine torsion at term is a rare obstetric event that occurs mainly in the third trimester with adverse maternal and neonatal consequences and raises several critical management considerations. We review possible diagnostic signs and management of this rare complication from literature.
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Article Synopsis
- * The report highlighted two cases of ovarian torsion following laparoscopic radical hysterectomy for cervical cancer, where both patients underwent a procedure meant to prevent this complication but still experienced torsion.
- * With ovarian torsion occurring in 1-8% of post-hysterectomy cases and rising cervical cancer rates among younger women, further research and improved surgical techniques are essential for better prevention and diagnosis.
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