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Caesarean delivery through deliberate posterior hysterotomy in irreducible uterine torsion

Title: Caesarean delivery through deliberate posterior hysterotomy in irreducible uterine torsion
Authors: DE IORIS A; PEZZUTO C; MODENA AB; NARDELLI, GIOVANNI BATTISTA
Contributors: De Ioris, A; Pezzuto, C; Nardelli, Giovanni Battista; Modena, Ab
Publisher Information: Societe Medicina Scienze Naturale:Via Gramsci 14, 43100 Parma Italy:011 39 0521 983364, Fax: 011 39 0521 983364
Publication Year: 2010
Collection: Padua Research Archive (IRIS - Università degli Studi di Padova)
Description: Acta Biomed. 2010 Sep;81(2):141-3. Caesarean delivery through deliberate posterior hysterotomy in irreducible uterine torsion: case report. De Ioris A, Pezzuto C, Nardelli GB, Modena AB. SourceDepartment of Gynaecology, Obstetrics and Neonatology, University of Parma, Parma, Italy. adeioris@hotmail.it Abstract Gravid uterus rotation is a normal finding in the third trimester of pregnancy. However, a rotation greater than 45 degrees around the longitudinal axis of the uterus--uterine torsion--is a rare pathological condition in the obstetrical practice. We reporte the case of 180 degrees torsion of a myomatous uterus at preterm in which the foetus, in breech presentation, was delivered through a deliberate posterior hysterotomy. An emergency caesarean section was arranged after prolonged foetal bradycardia. Uterine torsion treatment depends on when the torsion occurs during the pregnancy. However, laparotomy is imperative in all cases. When derotation of the uterus is not possible, a transverse incision in the lower posterior uterine segment, if feasible, is a safe choice.
Document Type: article in journal/newspaper
File Description: STAMPA
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/21305879; volume:81(2); firstpage:141; lastpage:143; numberofpages:3; journal:ACTA BIO-MEDICA DE L'ATENEO PARMENSE; https://hdl.handle.net/11577/137503
Availability: https://hdl.handle.net/11577/137503
Accession Number: edsbas.A24CB3A7
Database: BASE