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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (1): 185-188    DOI: 10.31083/j.ceog.2021.01.2230
Case Report Previous articles | Next articles
Uterine torsion in a 25-week pregnant female with congenital uterine didelphys and intraoperative complication of uterine atony: a report of a rare clinical case
Khac Tu Chau1, Minh Tam Le2, *(), Doan Tu Tran2, Vu Quoc Huy Nguyen2
1Department of Obstetrics and Gynaecology, Hue Central Hospital, 16 Le Loi Street, 49120 Hue, Vietnam
2Department of Obstetrics & Gynaecology, Hue University of Medicine and Pharmacy, Hue University, 06 Ngo Quyen Street, 49120 Hue, Vietnam
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Abstract  
Uterine torsion is an extremely rare pregnancy-related complication. Its diagnosis is often difficult due to unspecific clinical symptoms, which can be mistaken for other conditions such as placental abruption. A 23-year-old pregnant woman with gestational age of 25 weeks presented with acute abdominal pain and hypertonic uterus. Vaginal examination revealed a septated vagina, double cervix, and double uterus. Bedside sonography revealed absence of fetal cardiac activity and signs of placental abruption. The patient was emergently operated with a preliminary diagnosis of severe placental abruption in the uterus didelphys. During surgery, we noted a double uterus and the fetus had implanted in the right uterus, which was twisted 180 degrees to the left. After detorsion, a low transverse hysterotomy was performed to extract the dead fetus. However, subsequently, the patient developed uterine atony. Subtotal hysterectomy and right adnexectomy were inevitable due to failure of conservative treatment with B-lynch suture. The patient's postoperative condition was stable, and she was discharged after 5 days.
Key words:  Uterine torsion      Pregnancy      Uterus didelphys      Uterine atony     
Submitted:  18 July 2020      Revised:  31 August 2020      Accepted:  04 September 2020      Published:  15 February 2021     
*Corresponding Author(s):  Minh Tam Le     E-mail:  leminhtam@huemed-univ.edu.vn

Cite this article: 

Khac Tu Chau, Minh Tam Le, Doan Tu Tran, Vu Quoc Huy Nguyen. Uterine torsion in a 25-week pregnant female with congenital uterine didelphys and intraoperative complication of uterine atony: a report of a rare clinical case. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 185-188.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2021.01.2230     OR     https://ceog.imrpress.com/EN/Y2021/V48/I1/185

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