scholarly journals Asymptomatic levo uterine torsion of 90 degrees during caesarean section

2017 ◽  
Vol 6 (10) ◽  
pp. 4700
Author(s):  
Sirisha Anne ◽  
Arpit Garg ◽  
Debraj Sen
Keyword(s):  
Blood Loss ◽  
Uterine Artery ◽  
Pathological Condition ◽  
Longitudinal Axis ◽  
Gravid Uterus ◽  
Lower Segment ◽  
Normal Finding ◽  
Uterine Torsion ◽  
The Right ◽  
Term Labour

Uterine torsion is defined as a rotation of uterus more than 45 degrees along it’s long axis.  Some degree of dextrorotation in the gravid uterus can be a normal finding, however rotation greater than 45 degrees along the longitudinal axis of the uterus which is described as uterine torsion is a rare pathological condition in   obstetrical practice. We report a case of levotorsion of the uterus by 90 degrees wherein patient had presented with pre term labour at 35W5D POG and levotorsion was encountered and managed intraop during caesarean. Uterine torsion of 90 degrees was encountered with the round ligament and tubo ovarian complex along with the uterine artery lying anteriorly at the incision site and lower segment of uterus rotated laterally onto the right side. The surgery was handled diligently resulting in average blood loss.  Blood loss during the surgery was average. After the delivery of the baby, uterus returned to anatomical position and levotorsion corrected spontaneously.

scholarly journals Uterine torsion with necrosis of bilateral adnexa in a postmenopausal woman

2019 ◽  
Vol 12 (6) ◽  
pp. e229311 ◽  
Author(s):  
Katherine Jane Chua ◽  
Ricky Patel ◽  
Armina Eana ◽  
Joyce Varughese
Keyword(s):  
Postmenopausal Woman ◽  
Frozen Section ◽  
Pelvic Mass ◽  
Longitudinal Axis ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Gravid Uterus ◽  
Uterine Torsion ◽  
Acute Pelvic Pain ◽  
Uterine Fundus

Uterine torsion is an uncommon entity that is defined as a rotation of greater than 45° around the longitudinal axis of the uterus. Although cases of uterine torsion among pregnant patients have been mentioned in the literature, torsion of a non-gravid uterus is a rare occurrence. A 73-year-old nulliparous woman with a known fibroid uterus underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy with frozen section of a 17–18 cm pelvic mass seen on CT imaging. The source of the pelvic mass was unclear on imaging, and benign and malignant possibilities were discussed. During the procedure, necrosis of the uterine fundus and bilateral adnexa were seen due to the fundus being torsed with the uterine fibroid being the pivot point. Uterine torsion, though rare, can be the cause of acute pelvic pain in a postmenopausal woman.

scholarly journals A Case of Torsion of Gravid Uterus Caused by Leiomyoma

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Gururaj Deshpande ◽  
Rajesh Kaul ◽  
Manjuladevi P.
Keyword(s):  
Abdominal Pain ◽  
Cesarean Section ◽  
Posterior Wall ◽  
Fetal Outcome ◽  
Gravid Uterus ◽  
Lower Segment ◽  
Fetal Bradycardia ◽  
Lower Segment Cesarean Section ◽  
Uterine Torsion ◽  
In Pregnancy

Uterine torsion during pregnancy is only sporadically reported in the literature. Here we present a case of leiomyoma causing uterine torsion in pregnancy and review the literature on etiology, diagnosis, and management. A 25-years-old primigravida with leiomyoma complicating pregnancy was admitted in our hospital with abdominal pain and uterine tenderness. She underwent emergency LSCS (lower segment cesarean section) for fetal bradycardia. Intraoperatively, the uterus was rotated 180 degrees left to right. Inadvertent incision on the posterior wall was avoided by proper delineation of anatomy. Torsion was corrected by exteriorization of leiomyoma and uterus, and lower segment cesarean was carried out safely. Prompt recognition and management of this condition is necessary for better maternal and fetal outcome.

scholarly journals UTERINE TORSION IN TWIN PREGNANCY

2006 ◽  
Vol 13 (02) ◽  
pp. 327-329
Author(s):  
MUHAMMAD SAJJAD MASOOD ◽  
HUMA QUDDUSI ◽  
MUHAMMAD SAMEE AKHTAR ◽  
NASEER-UD- DIN
Keyword(s):  
Cesarean Section ◽  
Twin Pregnancy ◽  
Posterior Wall ◽  
Married Women ◽  
Gravid Uterus ◽  
Ongoing Pregnancy ◽  
Incision Site ◽  
Uterine Torsion ◽  
The Right ◽  
Labour Pains

A young married women in her 3rd ongoing pregnancy, having no alive issuepresented at 37+ weeks with labour pains. Cesarean section was planned because of twin pregnancy and past badobstetrical history. During operation, the uterus was found to have rotated to 180 degree to the right. A transverseincision was made on posterior wall of uterus to deliver babies. After suturing the incision site, the uterus wasrepositioned in right place. This paper presents a case of torsion of gravid uterus in which the delivery and repositioningof the uterus was successful.

scholarly journals Diagnosis and surgical treatment of liver echinococcosis

2021 ◽  
Vol 26 (4) ◽  
pp. 113-117
Author(s):  
V.O. Shaprinskyi  ◽  
O.O. Vorovskyi ◽  
O.A. Kaminskyi ◽  
Ya.M. Pashynskyi
Keyword(s):  
Blood Loss ◽  
Pleural Cavity ◽  
Abdominal Cavity ◽  
Diagnostic Value ◽  
Results Of Treatment ◽  
Before And After ◽  
Residual Cavity ◽  
Right Lobe ◽  
The Right ◽  
Duration Of Operation

The results of treatment of 72 patients with echinococcosis of the liver were analyzed, women – 62 (86.2%), men – 10 (13.8%). Primary echinococcosis was detected in 69 (95.8%) patients, secondary – in 3 (4.2%). Among instrumental research methods, ultrasound and computed tomography examination were of diagnostic value. Single liver cysts were found in 63 (87.5%) patients, multiple – in 9 (12.5%). Among patients with solitary cysts, the right lobe was more often affected than the left – 48 (66.7%) vs 24 (33.3%) cases. Echinococcosis of central localization was less common and was noted in 8 (11.1%) cases. Echinococcosis complications were observed in 16 (22.2%) patients. Among them, most often there were suppurations of the cyst – in 13 (18.1%); a bursting of the cyst into the free abdominal cavity – in 1 (1.4%), in the pleural cavity – 1 (1.4%), in the biliary tract – in 1 (1.4%). Partial or complete liming of the hand was observed in 12 (16.7%) patients. In 20 (27.8%) cases, the operation was performed from the upper median access, in 42 (58.3%) – from oblique hypochondria accesses by Kocher or by Fedorov. Pericystectomy was performed in 48 (66.7%) patients, in 8 (11.1%) patients underwent resections of liver segments with an echinococcal cyst, in 4 (5.6%) – cyst opening with removal of contents and treatment of its cavity. Laparoscopic echinococectomy was used in 12 (16.7%) patients. In the postoperative period complications were observed in 16 (22.2%) patients. The use of the welding electrocoagulator EK-300M "Swarmed" in the thermal rehabilitation of the walls of the residual cavity after echinococectomy allowed to reduce blood loss from 2200±210 ml to 250±50 ml. With the use of laparoscopic echinococectomy, intraoperative blood loss was reduced by 9 times (р=0.0001); duration of operation – 2 times (р<0.05), stay in hospital – 3.3 times (р=0.002). There were no fatal outcomes. Before and after operation antirelapse antiparasitic therapy with albendazole (Vormil) was performed in two cycles of 28 days, separated by a 14-day break. The dose at body weight over 60 kg was 400 mg 2 times a day, and for less than 60 kg the drug was calculated at a rate of 15 mg/kg/day. There were 2 (2.8%) cases of relapse, there was no mortality.

scholarly journals Subcutaneous herniation of fetuses after blunt force trauma in a cat

2020 ◽  
Vol 6 (2) ◽  
pp. 205511692094657
Author(s):  
Alexandra G Collins-Webb ◽  
Ashley L Hanna ◽  
Lea R Mehrkens ◽  
Daniel J VanderHart
Keyword(s):  
Abdominal Wall ◽  
Soft Tissues ◽  
Motor Vehicle ◽  
Uterine Horn ◽  
Thoracic Wall ◽  
Whole Body ◽  
Gravid Uterus ◽  
Blunt Force ◽  
Blunt Force Trauma ◽  
The Right

Case summary A stray female domestic shorthair cat was presented to the emergency service after being hit by a car. The patient was recumbent and vocalizing, with a small wound over the right lateral thorax, and two palpably firm swellings in the right cervical and thoracic soft tissues. The patient was sedated and humanely euthanized to prevent further pain and suffering. Post-mortem whole-body radiographs and subsequent necropsy revealed abdominal wall rupture with herniation of two near-term fetuses within the subcutaneous tissues along the right ventrolateral thoracic wall and neck. Within the abdomen, the right uterine horn was ruptured and a third extra-luminal fetus was identified. The left uterine horn remained intact, containing a fourth fetus. Relevance and novel information Rupture of the abdominal wall or diaphragm are well-known potential complications of blunt force trauma, such as motor vehicle accidents. While traumatic uterine rupture and diaphragmatic herniation of the gravid uterus have both been reported in the veterinary literature, abdominal wall rupture with subcutaneous fetal herniation is highly uncommon.

scholarly journals Total Laparoscopic Hysterectomy with Prior Uterine Artery Ligation at Its Origin

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Vidyashree Ganesh Poojari ◽  
Vidya Vishwanath Bhat ◽  
Ravishankar Bhat
Keyword(s):  
Blood Loss ◽  
Uterine Artery ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Artery Ligation ◽  
Uterine Arteries ◽  
Uterine Artery Ligation ◽  
Duration Of Surgery ◽  
Group A ◽  
Group B

We compared the duration of surgery, blood loss, and complications between patients in whom both uterine arteries were ligated at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom ligation was done after cornual pedicle. Using a prospective study in a gynecologic laparoscopic center, a total of 52 women who underwent TLH from June 2013 to January 2014 were assigned into two groups. In group A, uterine arteries were ligated after the cornual pedicles as done conventionally. In group B, TLH was done by ligating both uterine arteries at the beginning of the procedure. All the other pedicles were desiccated using harmonic scalpel or bipolar diathermy. Uterus with cervix was removed vaginally or by morcellation. The indication for TLH was predominantly dysfunctional uterine bleeding and myomas in both groups. In group A, the average duration of surgery was 71 minutes, when compared to 60 minutes in group B(P<0.001). In group A, the total blood loss was 70 mL, when compared to 43#x2009;mL in group B (Pvalue < 0.001). There were no major complications in both groups. To conclude, prior uterine artery ligation at its origin during TLH reduces the blood loss and surgical duration as well as the complications during surgery.

scholarly journals Measurement of right pulmonary artery diameter in normal chest radiographs

2018 ◽  
Vol 8 (2) ◽  
pp. 44-48
Author(s):  
Sabina Bogati ◽  
Surendra Maharjan ◽  
Ram Bahadur Chand
Keyword(s):  
Pulmonary Artery ◽  
Computed Radiography ◽  
Pathological Condition ◽  
Cross Sectional Study ◽  
Chest Radiographs ◽  
Cross Sectional ◽  
Right Pulmonary Artery ◽  
Normal Chest ◽  
The Right ◽  
Pulmonary Artery Diameter

Introduction: Many pathological condition and hypertension can be diagnosed by the measurement of the pulmonary artery. Our main objective was to measure the diameter of right pulmonary artery in normal chest radiographs. Methods: A cross-sectional study was performed in which, a total of 113 cases of chest radiographs were selected from July to October 2014, performed by qualified radiographer and reported by the radiologist. Right pulmonary artery is measured in Computed Radiography (CR) computer console. Obtained data were analyzed using in SPSS software version 20. Results: Among 113 cases, 52.2 % were male and 47.8 % were female. The mean diameter of the right pulmonary artery was found to be 11.96±2.04 mm, where in male, it was found to be 12.41 ± 2.0 mm and in female, it was found to be 11.46 ± 1.9 mm. The diameter of pulmonary artery was not correlated with height, weight, and BMI at 5% level of significance. Conclusion: This showed that female have narrower right pulmonary artery diameter than male. There was no significant relationship between pulmonary artery diameter and the height, weight and BMI. There was also no variation of measurement between male and female patients.

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