Uterine Torsion Diagnosed During Cesarean Section in a 26-Year-Old Female at Bugando Medical Centre, A Case Report

Abstract

Uterine torsion is considered rare conditions in human as compared to veterinary medicine. Despite being less commonly reported, it is associated with morbidities and mortalities to both fetal and maternal. When the rotation of the uterus is more than 45 degrees on its longitudinal axis is considered pathological. We report a 26-year-old woman, prime gravid, at Gestational age of 40 weeks who stayed in labor for 8hours with 6 centimeters cervical dilatation despite of adequate uterine contractions. She was delivered by caesarean section due to intrapartum fetal surveillance found to be bradycardic (fetal heart tones ranging from 108 to 110 beats per minutes) regardless of maternal changing position. A live baby boy with Apgar score of six at first and eight at firth minutes respectively birth weight 3.7 kilograms was delivered and Intraoperatively, uterine torsion of 180 degrees was diagnosed. We present this case as the rare diagnosis which is associated with significant morbidity and mortality of both maternal and neonates.