Torri Metz1, Michael Trierweiler, Ann Marie Arrigo, Virginia D Winn. 1. Department of Obstetrics and Gynecology, University of Colorado at Denver and Health Sciences Center, Academic Office 1, 12631 East 17th Avenue, Box B-198-6, Room 4405, P.O. Box 6511, Aurora, CO 80045, USA. torri.metz@ucdenver.edu
Abstract
BACKGROUND: Uterine torsion has been associated with a variety of adverse outcomes ranging from fetal distress to maternal death. Uterine torsion has also been reported in otherwise uncomplicated pregnancies. CASES: We report 2 cases of uterine torsion with abnormal anterior placentation identified at cesarean section, which had previously been disguised as posterior placenta previas. CONCLUSION: Given the increased risk of placenta accreta with an anterior placenta and prior cesarean scar, uterine position should be considered in the evaluation of a presumed posterior placenta, particularly with ultrasound findings suggestive of accreta such as placental lakes.
BACKGROUND: Uterine torsion has been associated with a variety of adverse outcomes ranging from fetal distress to maternal death. Uterine torsion has also been reported in otherwise uncomplicated pregnancies. CASES: We report 2 cases of uterine torsion with abnormal anterior placentation identified at cesarean section, which had previously been disguised as posterior placenta previas. CONCLUSION: Given the increased risk of placenta accreta with an anterior placenta and prior cesarean scar, uterine position should be considered in the evaluation of a presumed posterior placenta, particularly with ultrasound findings suggestive of accreta such as placental lakes.