Classical caesarean section through the posterior uterine wall
We report a case of myomectomy and classical caesarean section through the posterior uterine wall necessitated by 180° dextro-rotation of a gravid uterus with large fibroids. The non-specific clinical course and rarity of pathological torsion of the gravid uterus makes the preoperative diagnosis difficult.
Ultrasound recognition antenatally of a fibroid changing its position should help with the prediction preoperatively of uterine rotation.
KeywordsCaesarean Section Endometriosis Placental Abruption Gravid Uterus Haemosiderin
- 2.Barber, H. R. K., Graber, E. A. Surgical disease in pregnancy. Philadelphia: W. B. Saunders Co. Ltd. 1974: 387–88.Google Scholar
- 5.Greening, J. R., Beck, R. P. Torsion of the pregnant uterus. Report of a case. Obstet. Gynecol. 1983: 21. 421–2.Google Scholar
- 6.Nielson, T.F. Torsion of the pregnant human uterus without symptoms. Am. J. Obstet. Gynecol. 1981: 141, 838–9.Google Scholar