Document Detail

Uterine torsion in pregnancy.
MedLine Citation:
PMID:  1322618     Owner:  NLM     Status:  MEDLINE    
Torsion of the pregnant uterus is defined as rotation more than 45 degrees around the long axis of the uterus. Uterine torsion is observed in all age groups of the reproductive period, in all parity groups, and at all stages of pregnancy. Torsion from 60 degrees to 720 degrees has been described. It is not possible to clarify why uterine torsion occurs, but numerous abnormalities have appeared with uterine torsion; most often, abnormal fetal presentation, myoma uteri and uterine malformations. The most usual symptoms of uterine torsion are birth obstruction, abdominal pain, vaginal bleeding, shock, and urinary and intestinal symptoms. Eleven percent are asymptomatic. The treatment in the earlier months of pregnancy is immediate laparotomy and detorsion of the uterus and, if practicable, adjunct surgery to eliminate the possible etiologic factors. Near term or during labor cesarean section is carried out, and elimination of the possible etiologic factors. The fetal and maternal mortality rates since 1976 are 12% and 0% respectively.
J G Jensen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  71     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-08-31     Completed Date:  1992-08-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  260-5     Citation Subset:  IM    
Department of Obstetrics, Hjørring Hospital, Denmark.
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MeSH Terms
Diagnosis, Differential
Pregnancy Complications / diagnosis,  epidemiology*,  therapy
Pregnancy Outcome / epidemiology
Torsion Abnormality
Uterine Diseases / diagnosis,  epidemiology*,  therapy

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