scholarly journals Torsion In A Complete Bicorporeal Gravid Uterus: A Case Report

2021 ◽  
Author(s):  
Kimmee Khan ◽  
Abdullatif Elfituri ◽  
Christina Legit ◽  
Stergios Doumouchtsis
Keyword(s):  
Caesarean Section ◽  
Intraoperative Complications ◽  
Uterine Cavity ◽  
Gravid Uterus ◽  
Senior Registrar ◽  
Educational Value ◽  
Uterine Torsion ◽  
Operative Planning ◽  
High Index Of Suspicion ◽  
In Pregnancy

Abstract PurposeBicorporeal uterus has a prevalence of 0.3% and can have significant implications in pregnancy. We encountered a patient in her third pregnancy with a bicorporeal uterus, having had two previous caesarean sections. This pregnancy was in the left hemi-uteri which was damaged during her previous delivery. We discuss the antenatal and intraoperative considerations undertaken. We also share her antenatal imaging and intraoperative photos of her pelvic anatomy.MethodsA comprehensive literature search was undertaken on PubMed revealing that uterine torsion in the context of a bicorporeal uterus in pregnancy is a rarely documented occurrence. We used the patient’s electronic obstetric notes for all her pregnancies as well as the computerised records of her imaging. Her caesarean section was electively planned and led by two experienced obstetric consultants and a senior registrar. Postnatally she was contacted for permission to publish the images from her scans and caesarean section. ResultsHer previous obstetric history was important and allowed a high index of suspicion for obstetric complications. Prediction of surgical complexities on antenatal screening and imaging was important in her case. Finally anticipation of possible intraoperative complications allowed for pre-operative planning. ConclusionThis case encompassing a series of learning points and surgical tips which has educational value as well as clinical interest. In the presence of a uterine abnormality, placental complications, extensions of incisions and vascular injury should be anticipated. A safe incision site must be identified before entering the uterine cavity. Therefore involvement of senior clinicians is essential.

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 SIGMOID VOLVULUS COMPLICATING CAESAREAN SECTION – REVIEW & BRIEF CASE REPORT

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Puneet Kumar Agarwal ◽  
Vikram Vasuniya
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Sigmoid Colon ◽  
Clinical Picture ◽  
Clinical Situation ◽  
Sigmoid Volvulus ◽  
Gravid Uterus ◽  
Third Trimester ◽  
Mortality And Morbidity ◽  
In Pregnancy

Sigmoid volvulus in pregnancy is a very rare clinical situation responsible for high rates of mortality and morbidity in both mother and fetus. It is due to the gravid uterus which itself clouds the clinical picture of sigmoid volvulus.A long and redundant sigmoid colon compressed by enlarged gravid uterus, might explain increased incidence of sigmoid volvulus during pregnancy especially during third trimester. This article describes a case with 36 weeks of gestation where sigmoid volvulus was encountered during caesarean section. Keywords: Sigmoid, volvulus, pregnancy

scholarly journals Critical analysis of surgical difficulties and postoperative morbidities of caesarean deliveries: a rural teaching hospital experiences in silk city, South India

2017 ◽  
Vol 6 (6) ◽  
pp. 2565
Author(s):  
Wills G. Sheela ◽  
Chellatamizh M. ◽  
Mohanambal M.
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Placenta Previa ◽  
Intraoperative Complications ◽  
Caesarean Section Rate ◽  
Uterine Cavity ◽  
Bladder Injury ◽  
Lower Segment ◽  
Excessive Bleeding ◽  
Cesarean Deliveries

Background: Caesarean section is the delivery of a fetus through a surgical incision on the uterine wall after 28 weeks of gestation. Objectives of present study were to determine the caesarean section rate, to analyse surgical difficulties and post-operative morbidites in caesarean deliveries and to formulate modalities to reduce morbidity and to ensure safe motherhood.Methods: Retrospective analysis of caesarean deliveries in Shri Sathya Sai Medical College and Research Institute, Ammapettai from January 2015-2017. Total number of delivery in these two year were 494.Total vaginal delivery-210, Total caesarean delivery-284. Case records of women who had cesarean deliveries were analysed for intra operative complications and post-operative morbidity within the period of their hospital stay.Results: Total no of deliveries in 2 years were 494. Vaginal delivery was 210 (42.5%). Total caesarean section is 57.5% (n=284). Primary caesarean section rate 33.1% (n=94) and secondary cesarean section rate 66.9% (n=190). 60% of our subjects were un-booked emergency admissions. Majority were between 21-30 years. Youngest is 16yr old with imminent eclampsia, oldest 35yr with previous 3 LSCS with central placenta previa. Non-closure of peritoneum in previous caesarean has increased the risk of adhesions, plastered rectus muscle and bladder adhesion which caused difficulty in reaching lower segment in 62 women. In present study, vertical incision was put on uterus in 4 cases due to adhesions. Difficulty in entering uterine cavity, extension of uterine angle due to thick lower segment and excessive bleeding was seen in cases of repeat caesarean section. Scar dehiscence has increased due to single layer closure of uterus. Scar dehiscence was noted in 41 cases. Bladder injury in 3 cases, adherent placenta over the scar was seen in 5 cases.Conclusions: Caesarean section rate is increasing. Intraoperative complications and postoperative morbidity is comparatively less in primary caesarean section. More than one morbidity was seen in 60% women who had repeat section. With the growing rate of cesarean deliveries worldwide, women should be counselled that the repeat cesarean are bound with surgical difficulties and complications. If available, it’s imperative to take the senior obstetricians help for better surgical outcome. Anticipation of complications, early decision and active intervention reduces morbidity and prevent mortality as most of the women report for admissions late in labour.

Incidence of Uterine Torsion and Related Factors in Buffaloes of Amul Milk Shed Area

2019 ◽  
Vol 15 (01) ◽  
pp. 17-20
Author(s):  
Chintan S Pateliya1 ◽  
J A Patel ◽  
A J Dhami ◽  
S B Patel ◽  
H L Makwana
Keyword(s):  
Retrospective Study ◽  
Survival Rate ◽  
Caesarean Section ◽  
Post Treatment ◽  
Full Term ◽  
Related Factors ◽  
Factors Influencing ◽  
Uterine Torsion

A study was carried out to find out the retrospective incidence of uterine torsion in buffaloes among obstetrical cases in Amul milk shed area and factors influencing it. Data on 1,13,772 obstetrical cases attended from January 2017 to June 2018 by Amul Veterinarians were collected. Moreover, 50 buffaloes suffering from uterine torsion were taken up during July-December, 2018 to know the side, site, degree of uterine torsion, parity as well as sex and viability of the calf and the dam after detorsion/Caesarean section in the same area. In the retrospective study, a total of 2000 cases of uterine torsion were recorded among total 1,13,772 bovine obstetrical cases, which encompassed 1.76%. Of the 2000 cases, 92.20 (1844) percent torsions were found in buffaloes only. Among 57,111 obstetrical cases attended in buffaloes, the incidence of uterine torsion was 3.23%. Moreover, the region/center-wise incidence of torsion cases varied from 1.30–19.36%. The highest incidence of uterine torsion was found in Anand region (19.36 %) followed by Kathlal (11.23 %) and Mahemdabad (10.14 %) regions, while the lowest incidence was in Virpur (2.06%), Petlad (1.46%) and Piplata (1.30%). It was concluded that buffaloes mostly experience right side (100%), post-cervical (82%) uterine torsion of 270–360° (66%), at full term of gestation (70%)with lower survivability of the calves (30%), however, the survival rate of the dams post-treatment was 90%.

scholarly journals Term gravid uterus in a congenital umbilical hernia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Friday Saidi ◽  
Bakari Rajab ◽  
Lameck Chinula ◽  
Nomsa Kafumba ◽  
Maganizo Chagomerana ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Umbilical Hernia ◽  
Primary Repair ◽  
Recurrent Hernia ◽  
Gravid Uterus ◽  
Patient Centered ◽  
Medical Practitioners ◽  
Vaginal Deliveries ◽  
Feasible Option ◽  
Associated Risk Factors

Abstract Background Umbilical hernias are a frequent and well-known pathology in children or adults. Congenital umbilical hernias are commonly diagnosed in childhood, and in adulthood such a hernia is usually acquired. Umbilical hernia in pregnancy may result in serious obstetric complications including antepartum hemorrhage, intrauterine fetal demise, and preterm labor, particularly if incarcerated. Case presentation We present a rare case of a congenital umbilical hernia in a term pregnancy. The patient was a 34-year-old African (Malawian) woman, living with human immunodeficiency virus (HIV) and on antiretroviral treatment, gravida 4, with three previous vaginal deliveries, and with two babies weighing 4 kg at birth. We performed herniorrhaphy at caesarean section, and at 3 months of follow-up she had no evidence of a recurrent hernia. Conclusion Congenital umbilical hernias are commonly diagnosed in childhood but might first be seen by medical practitioners in adulthood. A patient-centered approach addressing patient complaints, associated risk factors, and possible complications is recommended. Primary repair at caesarean section is a feasible option.

‘Pregnancy month by month’

1977 ◽  
Vol 15 (22) ◽  
pp. 88-88
Keyword(s):  
Caesarean Section ◽  
Infectious Diseases ◽  
Pregnancy And Childbirth ◽  
Threatened Miscarriage ◽  
Financial Benefits ◽  
Rhesus Incompatibility ◽  
In Pregnancy

Consumers’ Association has just published a revised and up-to-date edition of this comprehensive guide to pregnancy and childbirth. The book is a straightforward account for women of what should happen when all goes well, and also deals with what might happen if anything goes wrong; it gives information on rhesus incompatibility, threatened miscarriage, toxaemia, rubella and other infectious diseases in pregnancy, and advises on how to cope with a stillbirth. Types of anaesthesia and pain-relieving drugs, methods of assisted births and caesarean section are described. Apart from medical aspects, Pregnancy Month by Month explains what financial benefits are available and how and when to claim them.

scholarly journals Uterine Prolapse in Pregnancy: Two Cases Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Chunyan Zeng ◽  
Feng Yang ◽  
Chunhua Wu ◽  
Junlin Zhu ◽  
Xiaoming Guan ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Conservative Treatment ◽  
Literature Review ◽  
Vaginal Delivery ◽  
Clinical Characteristics ◽  
Uterine Prolapse ◽  
The Other ◽  
Gestational Period ◽  
In Pregnancy

Uterine prolapse complicating pregnancy is rare. Two cases are presented here: one patient had uterine prolapse at both her second and third pregnancy, and the other developed only once prolapse during pregnancy. This report will analyze etiology, clinical characteristics, complication, and treatment of uterine prolapse in pregnancy. Routine gynecologic examination should be carried out during pregnancy. If uterine prolapse occurred, conservative treatment could be used to prolong the gestational period as far as possible. Vaginal delivery is possible, but caesarean section seems a better alternative when prolapsed uterus cannot resolve during childbirth.

scholarly journals Huge symptomatic pedunculated uterine fibroid in pregnancy: Antepartum myomectomy and term delivery at a specialist hospital in Kano, Nigeria

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Iman Usman Haruna ◽  
Jamilu Tukur ◽  
Idris Usman Takai ◽  
Abdullahi Mustapha Miko Mohammed ◽  
Ali Abdurrahman Bunawa
Keyword(s):  
Caesarean Section ◽  
Acute Abdomen ◽  
Live Birth ◽  
Uterine Fibroid ◽  
Recent Literature ◽  
Caesarian Section ◽  
Term Delivery ◽  
In Pregnancy

Myomas are common in pregnancy and can go unnoticed. One in ten patients, however, develops complications that would necessitate their removal. Myomectomy performed at caesarian section had come to the lime light over the last decade and recent literature have shown its safety. There is still paucity of literature on myomectomy performed during pregnancy. Our case was a 25 years old primigravida at 21 weeks with features of acute abdomen secondary to uterine fibroid which was diagnosed during pregnancy. She subsequently had antepartum myomectomy and a live birth at term via caesarean section.

Uterine torsion in pregnancy

2012 ◽  
Vol 32 (8) ◽  
pp. 805-806 ◽  
Author(s):  
M. Bukar ◽  
J. Y. Moruppa ◽  
B. Ehalaiye ◽  
D. N. Ndonya
Keyword(s):  
Uterine Torsion ◽  
In Pregnancy
Sign in / Sign up

Export Citation Format

Share Document