Posterior Hysterotomy for Uterine Torsion at Term: Report of Two Cases with Long-term Follow-up

Year 2025, Volume: 7 Issue: 3, 482 - 487, 13.10.2025

Ayşe Topcu Akduman , Gizem Işık , Özhan Özdemir

https://doi.org/10.52827/hititmedj.1667615

Abstract

Objective: Uterine torsion is defined as a rotation of the uterus exceeding 45° around its longitudinal axis. This study aims to present two cases of uterine torsion diagnosed during cesarean section.

Material and Method: Two cases diagnosed with uterine torsion during cesarean section were evaluated.

Results: In both cases, the fetuses were delivered through a transverse incision in the lower posterior uterine segment. The patients recovered well and were discharged home with their newborns. In the first case, a cesarean scar defect was observed during follow-up, whereas in the second case, the uterus showed complete recovery.

Conclusion: The potential complications and long-term sequelae of a posterior hysterotomy scar in future pregnancies remain unclear.

Keywords

Uterine torsion , cesarean delivery , posterior hysterotomy , cesarean scar defect

Term Gebeliklerde Uterin Torsiyonun Yönetiminde Posterior Histerotomi: Uzun Dönem Takipli İki Olgu Sunumu

Abstract

Amaç: Uterin torsiyon, uterusun longitudinal aksı etrafında 45°’yi aşan rotasyonu olarak tanımlanır. Bu çalışmada, sezaryen sırasında tanı konulan iki uterin torsiyon olgusunu sunmayı amaçladık.

Gereç ve Yöntem: Sezaryen sırasında uterin torsiyon tanısı alan iki olgu değerlendirildi.

Bulgular: Her iki olguda da fetüsler, alt posterior uterin segmentte yapılan transvers insizyon ile doğurtuldu. Hastalar ve yenidoğanlar sorunsuz bir şekilde iyileşerek taburcu edildi. İlk olgunun takip sürecinde sezaryen skar defekti gözlenirken, ikinci olguda uterusun tamamen iyileştiği saptandı.

Sonuç: Gelecek gebeliklerde posterior histerotomi skarına bağlı gelişebilecek olası komplikasyonlar ve uzun dönem sonuçları henüz netlik kazanmamıştır.

Keywords

Uterin torsiyon , sezaryen doğum , posterior histerotomi , sezaryen skar defekti

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