Uterine torsion in pregnancy: a case report and systematic review.

Q3 Medicine
Medical Journal of Malaysia Pub Date : 2025-03-01
A Z Zahar, M A Mazrin Nur
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引用次数: 0

Abstract

Introduction: Uterine torsion in pregnancy is a rare condition but is associated with significant negative outcomes to the pregnant women and their babies. This study is to systematically review the literatures and analyse the clinical presentations, management and complications of uterine torsion in pregnancy.

Materials and methods: We searched across multiple databases (PubMed, Google Scholar, ScienceDirect, Academia.edu, ResearchGate and Semantic Scholar) and suitable articles from 1993 to 2022 were systematically chosen according to PRISMA guideline. The analysis was performed on the maternal characteristics, signs and symptoms of the uterine torsion, management, complications and outcomes of both the mothers and infants. All case reports or case series reporting uterine torsion in pregnancy from English language journals were included without restriction on the geographical origin.

Results: A total of 149 cases from 146 publications and one from our centre were included for analysis. Most of the cases were seen in the third trimester and presented with acute abdominal symptoms and signs. It presented a challenge in diagnosis and had a myriad of complications to the mothers and infants. The maternal mortality is 2.0% while the perinatal mortality stands at 38.2%.

Conclusion: Uterine torsion in pregnancy is a rarely encountered but serious condition with no specific precipitating factor or diagnostic criteria. It can occur at any gestation, has a wide range of non-specific clinical presentations, and carries a significant risk to the mother and child.

妊娠期子宫扭转1例报告及系统回顾。
妊娠期子宫扭转是一种罕见的疾病,但对孕妇及其婴儿有显著的负面影响。本文系统回顾文献,分析妊娠期子宫扭转的临床表现、处理方法及并发症。材料和方法:检索PubMed、谷歌Scholar、ScienceDirect、Academia.edu、ResearchGate和Semantic Scholar等多个数据库,根据PRISMA指南系统选择1993 - 2022年的合适文章。对产妇的特点、子宫扭转的体征和症状、处理、并发症和母婴结局进行分析。所有来自英文期刊的报告妊娠期子宫扭转的病例报告或病例系列均被纳入,不受地域来源的限制。结果:共纳入146份出版物的149例病例和我们中心的1例病例进行分析。大多数病例出现在妊娠晚期,并出现急性腹部症状和体征。它在诊断上提出了挑战,并给母亲和婴儿带来了无数的并发症。产妇死亡率为2.0%,围产期死亡率为38.2%。结论:妊娠期子宫扭转是一种罕见但严重的疾病,没有特定的诱发因素和诊断标准。它可以发生在任何妊娠期,具有广泛的非特异性临床表现,并对母亲和孩子具有重大风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Medical Journal of Malaysia
Medical Journal of Malaysia Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
165
期刊介绍: Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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