• BMJ case reports · Jan 2014

    Case Reports

    Complete axial torsion of pregnant uterus with leiomyoma.

    • Rekha Sachan, M L Patel, Pushpalata Sachan, and Anubha Arora.
    • Department of Obstetrics and Gynaecology, King George's Medical University, Lucknow, Uttar Pradesh, India.
    • BMJ Case Rep. 2014 Jan 1;2014.

    AbstractUterine torsion is defined as a rotation of the uterus of more than 45° along its long axis. It is a rare complication during pregnancy; a common cause of torsion can be uterine myoma. Here we describe the case of a 27-year-old G2P1+0 woman at 15 weeks 3 day pregnancy, who presented to our outpatient department as a case of acute abdomen, in a state of shock. Clinical findings did not correlate with investigation. On lapratomy she was diagnosed as a case of complete axial torsion of pregnant uterus with fundal myoma with massive abruption. Early diagnosis and timely intervention would help in improving both maternal and fetal outcome.2014 BMJ Publishing Group Ltd.

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