TORSION OF TERM GRAVID UTERUS - AN INCIDENTAL FINDING DURING CESAEREAN SECTION: A RARE CASE REPORT

Uterine torsion is rotation of the uterus around its long axis greater than 45 degrees. This is a rare case of 22 year old G2P1L1,40 weeks of gestational age with previous normal vaginal delivery admitted for safe instituitional delivery. Growth scan was done, AFI of 4.5 cm with estimated fetal weight 2.8 kg. After counselling about risk of oligohydramnios explained the mode of delivery,taken consent of trail of labour and induction.As there was non reassuring CTG, with nonprogession of labour,patient was taken for emergency LSCS under spinal anesthesia, intraoperatively there was an axial rotation of uterus to 180 degrees observed,as there was difficulty to derotate the full term gravid uterus with stiff abdomen low transverse incision is given on the posterior surface of uterus and delivered an alive male baby .Derotation of uterus done and sutured. Uterine torsion although rare should be kept in mind while performing cesaerean section.