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Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician

Torsion of the gravid uterus is very rare in obstetric practice. We report a case of torsion in the uterus didelphys at term which is rare and a lifetime experience for an obstetrician. The patient, a 25-year-old gravida 2 para 1 was admitted to the labor ward at 37 weeks and six days of gestation w...

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Autores principales: Ghosh, Mousumi D, Singh, Vinita, Datta, Mamta R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9798033/
https://www.ncbi.nlm.nih.gov/pubmed/36589164
http://dx.doi.org/10.7759/cureus.31996
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author Ghosh, Mousumi D
Singh, Vinita
Datta, Mamta R
author_facet Ghosh, Mousumi D
Singh, Vinita
Datta, Mamta R
author_sort Ghosh, Mousumi D
collection PubMed
description Torsion of the gravid uterus is very rare in obstetric practice. We report a case of torsion in the uterus didelphys at term which is rare and a lifetime experience for an obstetrician. The patient, a 25-year-old gravida 2 para 1 was admitted to the labor ward at 37 weeks and six days of gestation with abdominal pain. Her previous delivery was a caesarean section performed four years back. She was taken to the operating room for an emergency caesarean section for fetal distress and the lie was transverse. On entering the peritoneal cavity, we found an engorged infundibulopelvic ligament with the fallopian tube and ovary covering the lower segment of the uterus. The baby was successfully delivered by breech extraction. Due to uterine torsion of more than 180 degrees, the posterior surface of the uterus was placed anteriorly, and the incision was made on the posterior surface of the uterus. There was a hemi uterus on the left side of the pelvic cavity with the fallopian tube and ovary attached to it; a diagnosis of uterus didelphys was made. The diagnosis of uterine torsion is intraoperative and prompt and timely decision by surgeons is crucial. We had favorable maternal and fetal outcomes in this rare and interesting case. The diagnosis, though rare, should be kept in mind in all cases of abdominal pain during pregnancy, especially in those with malpresentation.
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spelling pubmed-97980332022-12-29 Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician Ghosh, Mousumi D Singh, Vinita Datta, Mamta R Cureus Emergency Medicine Torsion of the gravid uterus is very rare in obstetric practice. We report a case of torsion in the uterus didelphys at term which is rare and a lifetime experience for an obstetrician. The patient, a 25-year-old gravida 2 para 1 was admitted to the labor ward at 37 weeks and six days of gestation with abdominal pain. Her previous delivery was a caesarean section performed four years back. She was taken to the operating room for an emergency caesarean section for fetal distress and the lie was transverse. On entering the peritoneal cavity, we found an engorged infundibulopelvic ligament with the fallopian tube and ovary covering the lower segment of the uterus. The baby was successfully delivered by breech extraction. Due to uterine torsion of more than 180 degrees, the posterior surface of the uterus was placed anteriorly, and the incision was made on the posterior surface of the uterus. There was a hemi uterus on the left side of the pelvic cavity with the fallopian tube and ovary attached to it; a diagnosis of uterus didelphys was made. The diagnosis of uterine torsion is intraoperative and prompt and timely decision by surgeons is crucial. We had favorable maternal and fetal outcomes in this rare and interesting case. The diagnosis, though rare, should be kept in mind in all cases of abdominal pain during pregnancy, especially in those with malpresentation. Cureus 2022-11-28 /pmc/articles/PMC9798033/ /pubmed/36589164 http://dx.doi.org/10.7759/cureus.31996 Text en Copyright © 2022, Ghosh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Ghosh, Mousumi D
Singh, Vinita
Datta, Mamta R
Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician
title Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician
title_full Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician
title_fullStr Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician
title_full_unstemmed Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician
title_short Torsion of Uterus Didelphys at Term: Once-in-a-Lifetime Experience for an Obstetrician
title_sort torsion of uterus didelphys at term: once-in-a-lifetime experience for an obstetrician
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9798033/
https://www.ncbi.nlm.nih.gov/pubmed/36589164
http://dx.doi.org/10.7759/cureus.31996
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