| Managing extreme uterine torsion at term. A case report. | |
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MedLine Citation:
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PMID: 9513879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Extreme uterine torsion at term is a rare obstetric event and raises several critical management considerations. CASE: At the time of repeat cesarean section at term for fetal malpresentation, 180 degrees torsion of the uterine corpus was diagnosed. At laparotomy, the gravid uterus would not yield to anatomic repositioning, necessitating delivery through a deliberate posterior transverse hysterotomy. No maternal abdominopelvic pathology or fetal abnormalities were demonstrated. Prophylactic bilateral shortening of the round ligaments was performed at delivery to prevent recurrent torsion in the immediate puerperium. The patient recovered uneventfully. CONCLUSION: Deliberate posterior cesarean hysterotomy is an option for fetal delivery with irreducible torsion, and round ligament plication may prevent recurrent torsion in the immediate puerperium. |
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Authors:
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M A Pelosi; M A Pelosi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 43 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 1998 Feb |
Date Detail:
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Created Date: 1998-04-24 Completed Date: 1998-04-24 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 153-7 Citation Subset: IM |
Affiliation:
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Pelosi Women's Medical Center, Bayonne, NJ 07002, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section / methods Female Humans Pregnancy Pregnancy Complications* Recurrence / prevention & control Torsion Abnormality Uterine Diseases / diagnosis*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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