Background: Uterine torsion is defined as the rotation of more than 45
degrees around the long axis of the uterus. An uncommon but potential
ly fatal event, uterine torsion is rarely diagnosed until the time of
surgery. With magnetic resonance imaging (MRI), however, an accurate d
iagnosis of uterine torsion may now be made preoperatively. Case: We d
escribe a patient with uterine torsion in whom the correct diagnosis w
as made prenatally with the use of MRI, by the demonstration of an X-s
haped configuration of the upper vagina. Conclusion: Distinctive featu
res suggestive of uterine torsion were demonstrated by MRI and enabled
an accurate preoperative diagnosis. To our knowledge, this is the fir
st reported case of uterine torsion diagnosed on MRI.