Uterine Torsion Masquerading as Abruptio
Placentae: Diagnosed on Laparotomy
QD04-QD06
Correspondence
Anusha Devalla,
House No. 15, Sector 9A, Saket Nagar, Bhopal-462024, Madhya Pradesh, India.
E-mail: anushadevalla2@gmail.com
Uterine torsion is a rare, life-threatening and unexpected obstetric emergency. It is almost always diagnosed at caesarean section. Its ill-defined clinical presentation may pose a diagnostic dilemma. Here the authors present a case of 32-year-old, Primigravida, 36 weeks pregnancy with acute abdomen and intrauterine foetal demise. Clinical features resembled Abruptio Placentae. The diagnosis of uterine torsion (180°) was established on laparotomy where the left ovarian ligament was seen on the right side anteriorly. A posterior hysterotomy was done to extract the baby which was followed by detorsion of the uterus. The postoperative period was uneventful.