Uterine Torsion–A Case Report and Literature Review

A 38-year-old woman Gravida 4 Para 2 was admitted to the Cairns Hospital for an elective repeat caesarean section at 39 weeks gestation. She had one emergency Caesarean Section in 2008 for transverse lie and one elective repeat Caesarean Section for breech presentation at term in 2010. Both procedures were uncomplicated with some omental adhesions noted on repeat caesarean section. Other than her BMI of 48 and a diagnosis of genital herpes in 2010, she had a low risk pregnancy. Antenatal investigations revealed a normal glucose tolerance test at 18 and 28 weeks gestation, a negative serology for hepatitis B, hepatitis C, HIV, Syphilis and a Haemoglobin of 117. Her combined first trimester screen revealed low risk of aneuploidy and an ultrasound scan at 20 weeks revealed a single fetus with normal morphology and a placenta posteriorly located and clear of the cervical os. She had an ultrasound to assess fetal growth at 34 weeks which showed a normally grown fetus on the 75th centile with an AFI of 10.2cm and normal umbilical artery dopplers.