Torsion of the pregnant uterus at term

Abstract

Torsion of a pregnant uterus is an unusual complication of pregnancy. Abnormal presentation, myomatous uterus, uterine malformations and pelvic adhesions are the main abnormalities associated with uterine torsion. Maternal age, parity and gestational age are not significant factors in torsion pathogenesis [l]. Although uterine torsion may be asymptomatic, it is usually characterized by pain, intestinal or urinary complaints and even circulatory shock. At term, obstructed labor occurs in almost all cases [2]. The diagnosis is usually established only after opening of the abdomen, or even after closure of the uterine incision [3,4]. We present a 40-year-old woman, gravida 6, para 4. History of her previous pregnancies (all