Uterine Torsion Masquerading as Abruptio Placentae: Diagnosed on Laparotomy QD04-QD06
House No. 15, Sector 9A, Saket Nagar, Bhopal, Madhya Pradesh, India.
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 years 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 post-operative period was uneventful.