Uterine torsion in pregnancy
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Uterine torsion in pregnancy Astrid Berger1 · Magdalena Ritter1 · Siegfried Fessler1
© Springer-Verlag GmbH Germany, part of Springer Nature 2020
A 35-year old woman presented with 36 + 3 weeks of gestation and a pathological electronic fetal monitoring. In her medical history she had a laparoscopic surgery because of deep infiltrating endometriosis involving bladder, anterior uterine wall and both round ligaments which were partially resected. The first pregnancy was terminated by cesarean section at 39 weeks of gestation because of a transverse lie. This pregnancy was terminated again by cesarean section. Both times the uterus was clockwise rotated more than 90°
and torqued upon itself at the level of the junction between the cervix and uterine corpus. Left broad ligament and ovary were pulled to the right side necessitating the uterine incision at the posterior wall at both cesarean sections (Fig. 1). After delivery the uterus rotated to its normal position each time. Repeated uterine torsion in both pregnancies might be caused by partial resection of round ligaments leading to an impaired rotation stability.
Fig. 1 Uterine torsion diagnosed at the time of cesarean section
* Astrid Berger Astrid.Berger@i‑med.ac.at 1
Department of Gynecology and Obstetrics, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria
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Author contributions AB: manuscript writing. MR: manuscript writing. SF: designing the figure.
Compliance with ethical standards Conflict of interest The authors declare that they have no conflict of interest.
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