Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature.

J Int Med Res

Department of Urology Surgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Affiliated Hospital of Southeast University, Xuzhou, China.

Published: June 2020

This study was performed to describe the clinical features, risk factors, and treatment methods of uterine torsion in pregnancy. The most common symptoms are abdominal pain, fetal heart rate changes, and failure of cervical dilatation and are often accompanied by complete or partial placental abruption. Preoperative diagnosis is challenging even with the use of ultrasound. Uterine torsion in the third trimester is correlated with the presence of multiple uterine fibroids. The causes of gravid uterine torsion vary and the clinical manifestations are nonspecific. Early diagnosis and improved detection approaches are the keys to treatment of patients with uterine torsion. However, the preoperative diagnosis remains difficult and the diagnosis is often made during cesarean section.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273568PMC
http://dx.doi.org/10.1177/0300060520920404DOI Listing

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