Journal of Obstetrics and Gynaecology | 2019
Uterine torsion at term pregnancy associated with a previous pelvic organ prolapse (POP) surgery
Abstract
Uterine torsion at term pregnancy is a very rare event in obstetric practice. Although uterine torsion is scarce, the clinical presentation is non-specific and some patients are asymptomatic. Less than 45 rotation of uterus at pregnancy is physiologic (Jensen 1992). There is up to 720 pathologic uterine torsion in literature (Kilicci et al. 2018). Since all cases are not reported, the incidence of uterine torsion in pregnancy is not well known. We present a case of complete ( 180 ), symptomatic with mild pain uterine torsion diagnosed during an elective caesarean section. This young patient was operated for pelvic organ prolapse (POP) 3 years ago. The risk factors associated with uterine torsion are uterine malformations, myoma uteri, ovarian cysts, attempt of external cephalic versions but generally cases are detected incidentally without any predisposing risk factors (Nash et al. 2016). To the best of our knowledge, this is the first uterine torsion case presented in a pregnant patient with a previous sacrohysteropexy history.