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Case Reports
. 2023 Mar 23:10:1082955.
doi: 10.3389/fsurg.2023.1082955. eCollection 2023.

Uterine torsion in twin pregnancy with complete bicorporeal uterus, double cervix, longitudinal non-obstructing vaginal septum - a case report

Qianqian Gao  1 , Jinqiu Xiong  2 , Yuchun Zhu  1
Affiliations
Case Reports

Uterine torsion in twin pregnancy with complete bicorporeal uterus, double cervix, longitudinal non-obstructing vaginal septum - a case report

Qianqian Gao et al. Front Surg. .

Abstract

Even though uterine torsion is a rare obstetric complication in humans, it has been linked to severe complications like placental abruption, uterine rupture, foetal bradycardia, or even death. Here, we present a rare case of maternal shortening and prolonged foetal bradycardia. The patient suffered from congenital malformations of the female genital tract, which were classified as a complete bicorporeal uterus, a double "normal" cervix, and a longitudinal non-obstructing vaginal septum (U3b/C2/V1). The patient had an emergency caesarean section due to suspected placental abruption. Uterine torsion was found during the surgery, and the postoperative recovery was good. Obstetricians should be aware of the possibility of uterine torsion as a complication of pregnancy to avoid a delayed diagnosis of uterine torsion, especially in patients with genital malformations. During the surgery, there could be serious damage to blood vessels and tissues around the uterus due to an unclear surgical field, and difficulties in exposing the uterine body should be considered.

Keywords: case report; complete bicorporeal uterus; surgery; twin pregnancy; uterine torsion.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
(A) Uterus after foetal delivery (Uterus exteriorized intraoperatively). (B) Torsion of the cervix and uterine body (arrow; the peritoneum of the uterus and bladder was invisible). (C) Schematic figure of uterine torsion.
Figure 2
Figure 2
(A) Uterus after restoration (arrow; previous surgical scar in the lower right uterine segment). (B) Biuterine malformation.
Figure 3
Figure 3
Doppler echocardiography of two fetuses.
See this image and copyright information in PMC

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