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Axial Rotation (Cervical Torsion) of the Myornatous Uterus. *
Author(s) -
Kynoch J. A.
Publication year - 1912
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1912.tb09373.x
Subject(s) - obstetrics and gynaecology , citation , gynecology , medicine , library science , computer science , pregnancy , genetics , biology
TWENTY years ago the bubject of uterine rotation mas fully discussed before this Society, and gave risc to a spirited controversy as t o the frequency of its occurrelice an’d its clinical importance. It is now generally recognised that in a large proportion of cases, the normal full-time pregnant utcrus deviates to the right and is rotated on its long axis YO as to bring the left border of the uterus to the front. Regarding the clinical importance of uterine rotation one may uzcntion : 1st. The occurrence of a rare form of post-partum shock, due to the forcible pressure on the left ovary against t h e contracted uterine wall in the third stage of labour-a condition fully described by our President. 2nd. It has to be reckoned with in performing Cmarean section when this rotation must bc undone before making the uterine incision. 3rd. It irlay be a rare cause of obstructed labour, as in a case described by Dol4ris. TI1 is complication, however, is not unusual in some of the lower animals. 4th. It may give rise t o symptoms resembling those of extrauterine pregnancy as in cases reported by Lohlein and by Walther. In their cases the marked rotation was verified by operation; the twist was undone, and in both rmes labour terminated normally. Glinski has 5th. It may cause fatal intra-uterine hzemorrhage.