Open AccessUterine torsion in pregnancy
Author(s) -
Jensen John Grønkjær
Publication year - 1992
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349209021049
Subject(s) - medicine , uterus , laparotomy , pregnancy , myoma , gynecology , obstetrics , torsion (gastropod) , abdominal pain , surgery , biology , genetics
Torsion of the pregnant uterus is defined as rotation more than 45° around the long axis of the uterus. Uterine torsion is observed in all age groups of the reproductive period, in all parity groups, and at all stages of pregnancy. Torsion from 60° to 720° has been described. It is not possible to clarify why uterine torsion occurs, but numerous abnormalities have appeared with uterine torsion; most often, abnormal fetal presentation, myoma uteri and uterine malformations. The most usual symptoms of uterine torsion are birth obstruction, abdominal pain, vaginal bleeding, shock, and urinary and intestinal symptoms. Elcvcn percent arc asymptomatic. The treatment in the earlier months of pregnancy is immediate laparotomy and detorsion of the uterus and, if practicable, adjunct surgery to climinatc the possible etiologic factors. Near term or during labor ccsarcan section is carried out, and elimination of the possible etiologic factors. The fetal and maternal mortality rates since 1976 arc 12% and 0% respectively.