命运的转折：足月完全性子宫扭转病例报告
A Twist of Fate: Case Report of Complete Uterine Torsion at Term.
作者信息
Kumar Riya, Mahadevappa Kavita, Desai Rashmi
机构信息
Department of Obstetrics and Gynaecology, KIMS Hubballi, Hubballi, 580022 Karnataka India.
出版信息
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):603-606. doi: 10.1007/s13224-024-01970-0. Epub 2024 Apr 6.
BACKGROUND
Uterine torsion is defined as a pathological rotation of the uterus around its fixed longitudinal or vertical axis by a margin of more than 45 degrees. It is difficult to diagnose antenatally and has several operative and post-operative ramifications, leading to higher maternal and foetal morbidity.Case.We describe the case of a 21-year-old woman with asymptomatic, complete uterine torsion diagnosed during repeat caesarean section at term.
CONCLUSIONS
Posterior uterine incision is feasible and time-saving in an unexpected circumstance like uterine torsion. Exteriorization followed by detorsion of the uterus and a meticulous exploration of surrounding structures ensures safe obstetric outcome.
背景
子宫扭转被定义为子宫围绕其固定的纵轴或垂直轴发生病理性旋转，旋转角度超过45度。产前诊断困难，且有多种手术及术后影响，导致孕产妇和胎儿发病率较高。病例。我们描述了一名21岁女性的病例，该患者在足月重复剖宫产时被诊断为无症状性完全子宫扭转。
结论
在子宫扭转这种意外情况下，子宫后位切口可行且节省时间。将子宫翻出后进行扭转复位并仔细探查周围结构可确保安全的产科结局。
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