Uterine torsion with fetal death in the third trimester: Case report

The rarity of uterine torsion during pregnancy and the limited clinical experience in its management underscore the clinical significance of documenting each case for improved understanding and evidence-based practice. Uterine torsion must be included in the differential diagnosis when acute abdominal pain and hemodynamic instability occur during pregnancy, particularly in cases where conventional etiologies (e.g., uterine rupture, placental abruption) fail to account for the clinical presentation. Presumptive diagnoses of uterine torsion necessitate expeditious surgical exploration, as time-critical intervention is paramount to mitigate catastrophic maternal-fetal complications including hemorrhagic shock and irreversible ischemic injuries.