Open AccessTorsion of Gravid Uterus due to Uterine Asymmetry associated with Placental Abruption, Intrauterine Fetal Demise, and Maternal Shock
Author(s) -
Ashakiran Thavarsingh Rathod
Publication year - 2014
Publication title -
international journal of infertility and fetal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.102
H-Index - 6
eISSN - 2229-3833
pISSN - 2229-3817
DOI - 10.5005/jp-journals-10016-1083
Subject(s) - medicine , uterus , placental abruption , obstetrics , fetus , gynecology , pregnancy , biology , genetics
A 24-year-old gravida 3 para 2 living 1 with 28 weeks gestation presented with acute abdomen and shock. A diagnosis of concealed abruption with intrauterine death of fetus was made and case was taken for emergency cesarean section. It turned out to be 180° levorotation of gravid uterus with abruption. Detorsion of the uterus failed. A dead fetus was delivered through a vertical incision on posterior wall of uterus. Asymmetrically, enlarged uterus and excess liquor were the associated findings. Total hysterectomy was done for uncontrolled atonic postpartum hemorrhage. Postoperative period was uneventful. Although a rare obstetric condition, torsion of gravid uterus should be considered in the differential diagnosis of placental abruption particularly when concealed. How to cite this article Rathod AT. Torsion of Gravid Uterus due to Uterine Asymmetry associated with Placental Abruption, Intrauterine Fetal Demise and Maternal Shock. Int J Infertil Fetal Med 2014;5(2):64-65.