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Deliberate posterior low transverse incision at cesarean section of a gravid uterus in 180° of torsion: A case report
(2011) Albayrak, M.; Benian, Ali; Özdemir, İsmail; Demiraran, Yavuz; Güralp, Onur
Background: Torsion of the term gravid uterus is a rare, potentially serious, unexpected obstetric pathology and is almost always diagnosed at cesarean section. We report a case of deliberate posterior low transverse segment hysterotomy in irreducible uterine torsion at 41 weeks' gestation. Case: A 29-year-old nullipara with a 15-cm uterine fibroid was admitted at 41 weeks' gestation with regular uterine contractions. Cesarean delivery was carried out for obstructed labor. Intraoperatively, 180° levotorsion of the uterus was diagnosed. Following unsuccessful attempts at detorsioning the uterus, a posterior low transverse hysterotomy was performed for delivery. Conclusion: Delivery by a posterior low transverse hysterotomy may be feasible in uterine torsion after unsuccessful attempts at detorsioning the uterus during cesarean section at term. © Journal of Reproductive Medicine®, Inc.