Uterine Torsion Masquerading as Abruptio
Placentae: Diagnosed on Laparotomy
Published: October 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/45146.14148
Niranjan Mayadeo, Anusha Devalla
1. Professor, Department of Obstetrics and Gynaecology, Seth GS Medical College, KEM Hospital, Mumbai, Maharastra, India.
2. Junior Resident, Department of Obstetrics and Gynaecology, Seth GS Medical College, KEM Hospital, Mumbai, Maharastra, India.
Correspondence
Anusha Devalla,
House No. 15, Sector 9A, Saket Nagar, Bhopal-462024, Madhya Pradesh, India.
E-mail: anushadevalla2@gmail.com
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.
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