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Case Report: Torsion of a Gravid Horn of a Didelphic Uterus
Author(s) -
Achanna Siva,
Monga Deepika,
Hassan M. Suhaimi
Publication year - 1996
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1996.tb00950.x
Subject(s) - medicine , obstetrics , uterine rupture , abdominal pain , caesarean section , placental abruption , pregnancy , cephalopelvic disproportion , population , gynecology , uterus , surgery , fetus , environmental health , biology , genetics
Acute abdominal pain during pregnancy presents a dilemma as signs and symptoms are often modified. Abdominal massage by traditional birth attendants (TBAs') during early labour is a common practice in the rural population, as it is perceived to give a soothening effect to the labouring mother. Many instances of abruptio placentae were reported in the past by this procedure, and in this case, the clinical picture presented as an abruptio placenta. Malpresentation and failure to progress were the indications for caesarean section despite the fetal demise. Severe post partum haemorrhage and failure to contract despite massive oxytocics resulted in the hysterectomy of the gravid horn, leaving the other horn intact.