scholarly journals Double trouble: A Combined Ovarian and Axial Torsion of Uterus

2014 ◽  
Vol 8 (2) ◽  
pp. 63-64
Author(s):  
R Varadarajan ◽  
N Shivalingaiah
Keyword(s):  
Case Reports ◽  
Ovarian Torsion ◽  
Pregnant Uterus ◽  
Axial Torsion ◽  
Obstetrics And Gynaecology ◽  
Uterine Torsion

Torsion of the uterus is rare and mainly involves pregnant uterus. A combination of ovarian torsion with an axial torsion of uterus in a non-gravid woman is extremely rare. The exact incidence of uterine torsion is not clearly established, as only few case reports are available in the literature. Usually this kind of torsion are per operative diagnosis and very difficult to diagnose pre operatively. Here we present one such case with a combined ovarian and axial torsion of uterus.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 63-64 DOI: http://dx.doi.org/10.3126/njog.v8i2.9775

scholarly journals Complete axial torsion of pregnant uterus with leiomyoma

2014 ◽  
Vol 2014 (sep05 1) ◽  
pp. bcr2014205558-bcr2014205558 ◽  
Author(s):  
R. Sachan ◽  
M. L. Patel ◽  
P. Sachan ◽  
A. Arora
Keyword(s):  
Pregnant Uterus ◽  
Axial Torsion

scholarly journals Uterine torsion: A case report

1970 ◽  
Vol 4 (1) ◽  
pp. 55-57 ◽  
Author(s):  
Sonil Prabhakar ◽  
Pratiksha Gupta
Keyword(s):  
Case Report ◽  
Uterosacral Ligament ◽  
Uterine Wall ◽  
Pregnancy Complication ◽  
Term Pregnancy ◽  
Obstetrics And Gynaecology ◽  
Uterine Torsion ◽  
June July

In uterine torsion, the uterus twists more than 45 degrees around its long axis at the junction between thecervix and the corpus. Probably due to rarity only few cases are reported where detorsion was either notpossible or posterior uterine wall opening, more tactfully incisions inflicted transversely, have been the onlyway out.Reported herewith is a 26 yr, third gravida at 38 weeks pregnancy, with previous caesarean in early labourand underwent cesarean for rupture of the membrane, was realized to have an incision inflicted in theposterior wall of the uterus, 3 cm above the disposition of uterosacral ligament amidst severe torsion of theuterus that was successfully detorted avoiding hysterectomy, in view of the young age.Key words: uterine torsion; term pregnancy complication; uterine rotation.DOI: 10.3126/njog.v4i1.3335Nepal Journal of Obstetrics and Gynaecology June-July 2009; 4(1): 55-57

Axial torsion of the pregnant uterus

1960 ◽  
Vol 80 (2) ◽  
pp. 272-273 ◽  
Author(s):  
Peter F. Nowosielski ◽  
Harold Henderson
Keyword(s):  
Pregnant Uterus ◽  
Axial Torsion

scholarly journals Outcome of pregnancy following IVF/IUI complicated by ovarian torsion: case reports

2018 ◽  
Vol 7 (12) ◽  
pp. 5169
Author(s):  
Garima Sachdeva ◽  
Shalini Gainder
Keyword(s):  
Early Diagnosis ◽  
Intrauterine Insemination ◽  
Case Reports ◽  
Acute Onset ◽  
Ovarian Torsion ◽  
Delayed Presentation ◽  
Vitro Fertilization ◽  
Diagnosis And Management ◽  
First Case

Ovarian torsion though uncommon after in vitro fertilization (IVF)/ intrauterine insemination (IUI), but if not diagnosed early can lead to ischemic necrosis of the ovary. The reported incidence of ovarian torsion after IVF/IUI is 0.025-0.2% and is primarily attributed to controlled ovarian stimulation (COS). Here we present three case reports of ovarian torsion after IVF/IUI reported in a government hospital, India. The first case was referred to our institute after IVF with acute onset abdominal pain. Diagnosis of ovarian torsion was made. In this patient, ovaries could be salvaged by early diagnosis and intervention and she even delivered a 2.95 kg girl baby in the same pregnancy. The second case also followed IVF done in our institute and by early diagnosis and intervention, we could salvage the ovary. The third case followed IUI, but due to delayed presentation, the patient had to undergo ipsilateral salpingo-oopherectomy.  A total of 1562 IUI and 98 IVF were done at our institute last year, of which only one case each of IUI and IVF landed up in ovarian torsion. The significance of this article is to discuss the diagnosis and management of ovarian torsion and to reiterate the importance of early diagnosis and management.

scholarly journals Unicornuate uterus: case reports of heterogenous presentations challenging clinical diagnosis and management

2021 ◽  
Vol 10 (6) ◽  
pp. 2514
Author(s):  
Swati Trivedi ◽  
Santosh Khokher ◽  
Prasoon Rastogi ◽  
Vinod Kumar Dhaka
Keyword(s):  
Case Reports ◽  
Haemorrhagic Shock ◽  
Lower Abdomen ◽  
Pregnant Uterus ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Trimester Pregnancy ◽  
Maternal Morbidity And Mortality ◽  
Life Threatening ◽  
Lateral Fusion

Unicornuate uterus is an anomaly arising from defective lateral fusion of incompletely developed mullerian duct or paramesonephric duct with the contralateral duct. Pregnancy in non-communicating rudimentary horn can result in I and II trimester pregnancy losses along with maternal morbidity and mortality. Here we describe three such cases of unicornuate uterus with non-communicating rudimentary horn pregnancy, who presented to our hospital with pain in lower abdomen. Two of them with II trimester pregnancy landed in haemorrhagic shock owing to rupture of pregnant horn, though were revived by immediate intervention. Third patient who came with a definitive diagnosis of I trimester rudimentary horn pregnancy was managed electively by hemi-hysterectomy. Rupture of pregnant uterus can occur in II trimester when associated with uterine anomaly. Early sonographic diagnosis has a major offering in workup, management and prevention of mother from grave life threatening consequences.

scholarly journals Rectovaginal Fistula of Different Etiologies: Clinical Case Reports

2014 ◽  
Vol 7 (2) ◽  
pp. 43-46
Author(s):  
P Mitra ◽  
S Mukherjee ◽  
H Hassan ◽  
PS Soreng ◽  
S Adhikari ◽  
...  
Keyword(s):  
Clinical Case ◽  
Urinary Infection ◽  
Case Reports ◽  
Hiv Positive ◽  
Vaginal Intercourse ◽  
Vaginal Fistula ◽  
The Third ◽  
Obstetrics And Gynaecology ◽  
First Case ◽  
Common Etiology

We report three cases of recto vaginal fistula (RVF) due to different etiologies. First case was due to sexual trauma (vaginal intercourse) which is not very common. The second case was due to obstetric trauma (the most common etiology of RVF) and the third case was caused by chronic lower genito-urinary infection in a HIV positive lady. We have included the successful surgical procedures of first two cases. But the repairing of the third case was failed hence planned to operate after six months. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11143   Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 43-46

scholarly journals Spontaneous Rupture of Bicornuate Uterus Caused by Levorotation Due to Congenital Band

2014 ◽  
Vol 8 (2) ◽  
pp. 57-59 ◽  
Author(s):  
M Jain ◽  
R Tripathi ◽  
S Jain ◽  
A Verma ◽  
N Bajpai
Keyword(s):  
Spontaneous Rupture ◽  
Obstetric Complication ◽  
Gravid Uterus ◽  
Bicornuate Uterus ◽  
Axial Torsion ◽  
Obstetrics And Gynaecology

Rupture of gravid uterus due to torsion is a rare obstetric complication. The uterus has little mobility and is firmly held in place by its supports which resist any tendency of torsion. We are reporting a case of bicornuate uterus with rupture of left horn due to inability of malformed uterus to expand and axial torsion around one of its horns held by congenital band. Band was dissected and ruptured left horn excised, hemostasis was secured leaving the nonruptured nongravid horn of uterus intact.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 57-59 DOI: http://dx.doi.org/10.3126/njog.v8i2.9773  

scholarly journals Báo cáo trường hợp: xoắn tử cung đang mang thai 25 tuần trên sản phụ có hai tử cung tại Bệnh viện Trung ương Huế

2020 ◽  
Author(s):  
Khắc Tú Châu
Keyword(s):  
Pregnant Woman ◽  
Uterine Contraction ◽  
Clinical Symptoms ◽  
Rare Occurrence ◽  
Unsuccessful Attempt ◽  
Pregnant Uterus ◽  
Uterus Didelphys ◽  
Uterine Torsion ◽  
Gestational Week ◽  
The Right

Case report: Uterine torsion in pregnant woman of 25 gestational week- age with 2 uterus at Hue Central Hospital Uterine torsion in pregnancy is a rare but very dangerous complication. The diagnosis of uterine torsion is often difficult due to the rare occurrence of this complication and unspecific clinical symptoms. A pregnant woman of 25gestational week came to our hospital with a severe abdominal pain, very strong uterine contraction and dead fetus. Urgent cesarean section surgery is performed with a diagnosis of severe placental abruptionand the malformation of uterus didelphys. During the caesarean section, we found the pregnant uterus on the right siteand the right appendage twisted 180 degrees to the left. The patient was untwisted, undergone the incision in the low part of the uterus to take the dead fetus out, and had a subtotal hysterectomy and rightoophorosalpingectomy after unsuccessful attempt to preserve the uterus. The postoperative condition was stable and the patient was discharged after 5 days. Keywords: Uterine torsion, pregnancy

scholarly journals Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
M. C. Lucchetti ◽  
C. Orazi ◽  
A. Lais ◽  
M. L. Capitanucci ◽  
P. Caione ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Surgical Intervention ◽  
Case Reports ◽  
Young Patients ◽  
Clinical History ◽  
Ovarian Torsion ◽  
Review Of The Literature ◽  
Study Objective ◽  
Future Fertility ◽  
History Of

Background. Ovarian torsion (OT) is a serious condition, and delay in surgical intervention may result in loss of the ovary. Children and adolescents who have suffered from ovarian torsion may be at risk for asynchronous torsion of the contralateral ovary. Study objective. Three cases of asynchronous bilateral ovarian torsion were reported to analyse clinical history of three patients, to review the current literature, and to draw a conclusion for future treatment. Design. Case reports and review of the literature. Result. When a prepubertal girl presents with an ovarian torsion, several considerations have to be taken in account in order to preserve her future fertility; in particular, the pediatric surgeon/gynecologist has to preserve as much as possible the twisted ovary in addition to considering the fate of the contralateral ovary. Summary and Conclusions. Pelvic pain in a young girl has always raised the clinical suspect of an ovarian torsion; the possibility of asynchronous bilateral ovarian torsion is rare, but it is described in the literature and has catastrophic consequences; this condition has to be known and treated in the proper way by pediatric surgeons as well as by gynecologists in order to maximize the future fertility of the young patients.

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