Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

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

References

    1. Grimbizis GF, Gordts S, Di Spiezio Sardo A, Brucker S, De Angelis C, Gergolet M, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. (2013) 28:2032–44. 10.1093/humrep/det098 - DOI - PMC - PubMed
    1. Pfeifer SM, Attaran M, Goldstein J, Lindheim SR, Petrozza JC, Rackow BW, et al. ASRM Müllerian anomalies classification 2021. Fertil Steril. (2021) 116:1238–52. 10.1016/j.fertnstert.2021.09.025 - DOI - PubMed
    1. Rich DA, Stokes IM. Uterine torsion due to a fibroid, emergency myomectomy and transverse upper segment caesarean section. BJOG. (2002) 109:105–6. 10.1111/j.1471-0528.2002.t01-1-01067.x - DOI - PubMed
    1. Vaz SA, Dotters-Katz SK, Kuller JA. Diagnosis and management of congenital uterine anomalies in pregnancy. Obstet Gynecol Surv. (2017) 72:194–201. 10.1097/OGX.0000000000000408 - DOI - PubMed
    1. Akhtar MA, Saravelos SH, Li TC, Jayaprakasan K, on behalf of the Royal College of Obstetricians and Gynaecologists. Reproductive implications and management of congenital uterine anomalies: scientific impact paper no. 62 November 2019. BJOG. (2020) 127:e1–e13. 10.1111/1471-0528.15968 - DOI - PubMed

Publication types