Once-in-a-lifetime diagnosis, Uterine torsion; A case report and literature review

Abstract

Uterine torsion is a  very  unusual  gynaecological and obstetric emergency defined as “Pathological rotation of the uterus of more than 45 degree along its long axis commonly at the cervico isthmic junction”. It has been referred as, once-in-a-lifetime diagnosis by obstetricians and gynaecologists.

The risk of maternal morbidity and perinatal mortality is high. However, the prognosis is improved as long as the management is done rapidly. Unfortunately it is difficult to suspect and harder to confirm in emergency conditions. More data is needed to know about the genetic predilection and the characteristics of imaging workup for a rapid preoperative diagnosis to prevent adverse outcome.