Uterine Torsion in the First Trimester of Pregnancy

Uterine torsion is the 45° rotation of the uterus around its longitudinal axis. The incidence of uterine torsion is higher in patients with uterine fibroma, adnexal tumors, intra-abdominal adhesions, twin pregnancy. Diagnosis is difficult to make due to the noncharacteristic symptomatology. Most frequently, the clinical picture includes abdominal pain, digestive symptoms, and urinary symptoms. The treatment of uterine torsion during the first weeks of gestation consists of laparotomy with uterine detorsion and the elimination of potential risk factors. In near-term pregnancy, cesarean section is required, followed by the correction of favoring factors.