Abstract

Torsion of the uterus is one of the rarest causes of abdominal pain during pregnancy. We present the case of a 33-year-old lady, Para 4, who presented with severe abdominal pain without vaginal bleeding (FIG. 1). Clinically, the provisional diagnosis was concealed Placental Abruption, and the plan was made to deliver her with category one Caesarean section. Intraoperatively, we realised the uterine torsion. A male baby was delivered through an incision in the posterior uterine wall and cried at birth. The uterus was returned to the anatomical position after re-suturing. The patient made an uneventful recovery, while her baby was admitted for observation in the Neonatal Unit for few hours and discharged to his mother on the same day. Both the mother and her baby were discharged home in good condition.