Open AccessUterine Torsion Masquerading as Abruptio Placentae: Diagnosed on Laparotomy
Author(s) -
Niranjan Mayadeo,
Anusha Devalla
Publication year - 2020
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2020/45146.14148
Subject(s) - medicine , hysterotomy , laparotomy , acute abdomen , caesarean section , surgery , presentation (obstetrics) , uterus , obstetrics , uterine rupture , pregnancy , gynecology , gestation , biology , genetics
Uterine torsion is a rare, life-threatening and unexpected obstetric emergency. It is almost always diagnosed at caesarean section. Its ill-defined clinical presentation may pose a diagnostic dilemma. Here the authors present a case of 32-year-old, Primigravida, 36 weeks pregnancy with acute abdomen and intrauterine foetal demise. Clinical features resembled Abruptio Placentae. The diagnosis of uterine torsion (180°) was established on laparotomy where the left ovarian ligament was seen on the right side anteriorly. A posterior hysterotomy was done to extract the baby which was followed by detorsion of the uterus. The postoperative period was uneventful.