Symptoms of right rotation of the uterus during pregnancy

Update Date: 2023-12-06 Source: Network

summary

Pregnancy uterus, especially in late pregnancy, all with varying degrees of right rotation, but the rotation angle is not more than 30 degrees °。 If the pregnant uterus rotates more than 90 degrees to the right or left °， Tell us about the symptoms of right rotation of the pregnant uterus.

Symptoms of right rotation of the uterus during pregnancy

The main symptom of the disease is abdominal pain, 95% of the cases have varying degrees of abdominal pain; The degree of abdominal pain is directly proportional to the uterine ischemia caused by torsion, so the greater the degree of torsion, the longer the time, the more serious the uterine ischemia, and the more severe the abdominal pain.

The degree of torsion can reach 90% ° Even 720 °。 In 107 cases collected by Nesbitt, torsion was greater than 180 ° There are 16 cases, 2 / 3 of which are accompanied by shock. At this time, the maternal mortality rate can be as high as 50%, and the fetal infant mortality rate can be as high as 75%.

In addition, 18.7% of the cases had gastrointestinal symptoms, including nausea, vomiting, abdominal pain, diarrhea, abdominal distension, etc; 10.3% of the patients had urinary tract symptoms, including frequent urination, urgency of urination, and inability to urinate; Sometimes accompanied by a small to moderate amount of vaginal bleeding.

matters needing attention

If the blood supply of uterus is normal, there is no purple blue change, or the blood supply of uterus returns to normal after reduction, and the pregnancy is full-term, no matter the fetus is alive or dead, cesarean section can be performed; After cesarean section, if the uterine contraction is not good, bleeding, after various measures to promote uterine contraction, still can not stop bleeding, hysterectomy should be performed. If only slight torsion, gestational age is still small, but the fetus is alive, only uterine reduction can be done. If there are uterine fibroids or ovarian cystomas, they should be removed. If there are pelvic adhesions, they should be separated carefully.