Salani Ritu, Theiler Regan N, Lindsay Michael
Department of Gynecology and Obstetrics, Emory University at Grady Health Systems, Atlanta, GA 30303, USA.
Obstet Gynecol. 2006 Sep;108(3 Pt 2):820-2. doi: 10.1097/01.AOG.0000215997.13103.f2.
Torsion of the gravid uterus is a rare obstetric complication in humans, but has been reported in association with malpresentation and with uterine leiomyomata.
We report a case of uterine torsion diagnosed at emergency cesarean delivery after external cephalic version with prolonged fetal bradycardia.
Physicians should be aware of the possibility of uterine torsion as a complication of external cephalic version. To minimize diagnostic delay, placental localization on ultrasonography should be noted before and after external cephalic version as an indicator of uterine orientation.