Uterine torsion of term pregnant uterus due to anterior fibroid

Abstract

We present a case of uterine torsion caused by a large 7.0x8.0 cm subserosal myoma in a gravid uterus. This is an uncommon disorder where the prospective diagnosis is difficult thus raises challenges in management.Uterine torsion in gravid uterus is found to carry a substantial degree of risk of perinatal mortality. Leiomyoma is found to be a potential risk factor in these cases. Therefore the diagnosis must not be delayed to prevent complications. Though there are no imaging criteria, CT or MRI can produce a preoperative diagnosis. Uterine torsion can be asymptomatic and in most cases is an accidental finding during cesarian section. Thereby many times cesarian section yields the most certain diagnosis. Posterior low transverse incision is an accessible and effective approach in uterine torsion cases. High degree of suspicion along with swift management is essential factors contributing to favorable outcome.