Uterus Didelphys: Report of a Puerperal Torsion and a Review
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Introduction
Uterine torsion is the twist of the uterus between the cervix and uterine body. A minor degree of rotation of the pregnant uterus is fairly common during the third trimester of pregnancy but is deemed rather negligible. In contrast, an axial rotation of more than 45 degrees is quite unusual and its occurrence is defined as uterine torsion. The unusual occurrence of this latter condition during the puerperal period is often associated with predisposing factors altering the shape or position of the uterus or adnexa.

A severe torsion of the uterus can cause irreversible ischemic injury or serious thrombotic accidents. Hence, it is crucial to diagnose this condition quickly.

In this paper we describe a case of a uterine torsion in a woman carrying a Müllerian anomaly (uterus didelphys). The torsion involved one of the uteri and occurred on the seventh day after an uncomplicated caesarean section for which it was necessary to perform a surgical reintervention.

Case Presentation
A 29-year-old woman Para 2 was admitted to the emergency department with increasing lower abdominal pain. The patient had no history of systemic disease or chronic abdominal tenderness. Her past obstetric history revealed a caesarean section performed at 38 weeks because of a breech presentation three years earlier....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3419394/
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