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- W2467581566 abstract "A case of uterine torsion obstructing a midtrimester induced abortion is described. As with cases of torsion in late pregnancy which are also rare, the condition was only diagnosed at operation. Meticulous attention to the anatomical details prior to incision of the uterus is required.A 23-year old primigravida underwent abortion and sterilization at her own request in accordance with relevant sections of the respective law. The pregnancy in question had been recognized late after irregular menstruations. The uterus was enlarged, judged to be corresponding to 20 weeks of gestation. She was handicapped with arthrogryposis multiplex and she was treated with valproate for grand mal epilepsy. Abortion was carried out by administering gemeprost twice on 2 days. Frequent and increasingly painful uterine contractions resulted. The collum shortened to 1 cm and the orifice dilated to 1 cm while simultaneously the collum was dislocated in front under a hypertonic uterus. Acute laparotomy was performed because of suspected hyperstimulation and threat of rupture. After opening the abdomen a uterus was found that was turned left about 90 degrees around its longitudinal axis. The fundus of the uterus was opened and the conceptus was removed. An intramural fibroma of 3-4 cm size was found close to the left corner of the uterus. Sterilization was carried out with Filshie-clips, and the postoperative course was uneventful. Most torsion cases were associated with uterine abnormalities such as fibromas and adnexa tumors. Serial ultrasound investigations have hinted at torsion in some cases." @default.
- W2467581566 created "2016-07-22" @default.
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- W2467581566 date "1992-03-09" @default.
- W2467581566 modified "2023-09-26" @default.
- W2467581566 title "[Torsion of the uterus as a complication of second trimester abortion]." @default.
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