Document Detail


Caesarean delivery through deliberate posterior hysterotomy in irreducible uterine torsion: case report.
MedLine Citation:
PMID:  21305879     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Gravid uterus rotation is a normal finding in the third trimester of pregnancy. However, a rotation greater than 45 degrees around the longitudinal axis of the uterus--uterine torsion--is a rare pathological condition in the obstetrical practice. We reporte the case of 180 degrees torsion of a myomatous uterus at preterm in which the foetus, in breech presentation, was delivered through a deliberate posterior hysterotomy. An emergency caesarean section was arranged after prolonged foetal bradycardia. Uterine torsion treatment depends on when the torsion occurs during the pregnancy. However, laparotomy is imperative in all cases. When derotation of the uterus is not possible, a transverse incision in the lower posterior uterine segment, if feasible, is a safe choice.
Authors:
Andrea De Ioris; Cosimo Pezzuto; Giovanni Battista Nardelli; Alberto Bacchi Modena
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta bio-medica : Atenei Parmensis     Volume:  81     ISSN:  0392-4203     ISO Abbreviation:  Acta Biomed     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2011-02-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101295064     Medline TA:  Acta Biomed     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  141-3     Citation Subset:  IM    
Affiliation:
Department of Gynaecology, Obstetrics and Neonatology, University of Parma, Parma, Italy. adeioris@hotmail.it
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