Unavoidable Posterior Lower Segment Caesarean Incision Due To a 180-Degree Uterine Torsion Resulting From a Huge Anterior Uterine Fibroid: A Case Report
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 07
Abstract
Background: Uterine rotation is a common occurrence in pregnancy. However, when the rotation is more than 45 degrees it is termed torsion. Uterine torsion is rare and can complicate pregnancy especially in association with uterine anatomical pathologies, pelvic masses and abnormalities and fetal anomalies. The presentation and management vary and depend on the cause, degree of torsion and age of the pregnancy. The rarity of this condition makes this case report worthwhile.Case Report:We report a case of a 30 year old primigravid woman who booked for antenatal care at 16 weeks gestational age following a 3-year history of primary infertility. The pregnancy was complicated with abdominal pain from red degeneration of uterine fibroids and was managed with pentazocine injection severally in the 2ndtrimester. She presented in labour at 39 weeks but the labour was prolonged for 8 hours, having adequate contractions without any significant improvement in both descent and cervical status. She subsequently had an emergency caesarean delivery through a posterior lower segment incision due to an incidental finding of a 180-degree uterine torsion resulting from huge anterior fibroids; with an outcome of a live female neonate that weighed 3.1kg with good Apgar scores. Two pieces of fibroids were removed from the anterior surface that weighed 1.1kg. The post operative and puerperal periods were uneventful.Conclusion: Uterine torsion in pregnancy, a rare obstetric occurrence and infrequently reported complication occurs mainly in the third trimester and may complicate labour. In the presence of significant uterine fibroid, a possibility of uterine torsion may be entertained when the progress of labour is considered poor without any obvious mechanical cause. In such cases caesarean delivery with possible posterior uterine incision may be carried out.
Authors and Affiliations
Onyekpa IJ,Odugu BU,Okafor II,OFOR I,Onah LN,Omeke CA, Ofonere CN, Ezenweze M,Ugwuanyi TC
Keywords
Related Articles
- EP ID EP731731
- DOI 10.47191/ijmscrs/v2-i7-09
- Views 84
- Downloads 0
Managing Burn Scar withaCombination Therapy ofLong Pulsed 1064 Nm Nd: YAG(LPND) Laser, Topical Tretinoin and Hydroquinone
Background:Burn scars are associated with significant morbidity ranging from pigmentation, pruritus, pain, contractures and disfigurement to psychosocial impairment. Newer and advanced therapies for th...
The Effects of Ethanolic Extract of Premature Musa Paradisiaca(Plantain) Pulp onthe Reproductive System of Female Wistar Rats
Musa paradisiacais a medicinal plant that is used widely in Nigeria for the preparation of various herbal remedies. This study investigated the effects of premature Musa paradisiaca(plantain) fruit on the...
Features and Course of Epilepsy in the Mountain Desert Regions of The Surkhandara Region
This article discusses the features of epilepsy in the mountainous desert areas of Surkhandarya region and how it occurs. Epilepsy is a chronic polyetiological neuropsychiatric disorder that often begins in childhood and...
Assessment ofCalcium Carbide andNatural Ripened Pawpaw (Carica Papaya) Fruits onBiochemical Parameters of WistarRats
This research was aimed at assessing calcium carbideand naturalripened pawpaw (Carica papaya) fruit on the biochemical parameters of the Wistar rats. Twenty four (24) adult Wistar rats weighing between 126.9-213.3g was...
Correlation between Lactate Dehydrogenase Levels and Severity by Pulmonary Tomography in Patients with Sars-Cov-2
Serum lactate dehydrogenase (LHD) concentration has been described as a biomarker to predict severe lung injury and severe hypoxemia in patients with ARDS. The aim of the study was to correlate lactate dehydrogenase conc...