Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature

Author:

Yin Feng-Ling1,Huang Hong-Xiang2,Zhang Meng1,Xia Xiao-Kun1,Xu Hui1,Liu Tong1,Liu Dan3,He Hou-Guang4ORCID

Affiliation:

1. Department of Gynecology, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Affiliated Hospital of Southeast University, Xuzhou, China

2. Department of Gynecology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China

3. Department of Gynecology, Xuzhou Tongshan District Maocun Town Hospital, Xuzhou, China

4. Department of Urology Surgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Affiliated Hospital of Southeast University, Xuzhou, China

Abstract

This study was performed to describe the clinical features, risk factors, and treatment methods of uterine torsion in pregnancy. The most common symptoms are abdominal pain, fetal heart rate changes, and failure of cervical dilatation and are often accompanied by complete or partial placental abruption. Preoperative diagnosis is challenging even with the use of ultrasound. Uterine torsion in the third trimester is correlated with the presence of multiple uterine fibroids. The causes of gravid uterine torsion vary and the clinical manifestations are nonspecific. Early diagnosis and improved detection approaches are the keys to treatment of patients with uterine torsion. However, the preoperative diagnosis remains difficult and the diagnosis is often made during cesarean section.

Funder

Basic and clinical study of radionuclide iodine-125 combined with dual-regulation oncolytic virus in highly targeted treatment of prostate cancer

Effect and mechanism of deubiquitinase OTUD5 regulating A K D ubiquitination on radiosensitivity of cervical cancer

Publisher

SAGE Publications

Subject

Biochemistry, medical,Cell Biology,Biochemistry,General Medicine

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