Torsion of the pregnant uterus

A 31-year-old woman, with a history of previous cesarean section and right oophorectomy, was admitted for a repeat cesarean section. After the commenc ement of surgery uterine torsion was diagnosed because of the anterior posi tion of the remaining left ovary and tube, the absence of normal uterovesic al peritoneum, and extremely engorged vessels in the lower uterine surface. Posterior classical hysterotomy was performed and a healthy female baby wa s delivered. Following delivery of the baby and suturing the incision site of the uterus, the contracted uterus was detorted and put back in the pelvi c cavity. Extreme uterine torsion of 180 degrees at term is a rare obstetri c event. This paper presents a case of uterine torsion at full term pregnan cy in which the delivery and repositioning of the uterus was successful.