Uterine Torsion is defined as rotation of the uterus of more than 45 degrees on its long axis. It is an unusual complication of pregnancy and for most obstetricians, it probably represents "once-in-a-lifetime" diagnosis. A 32-year old multipara at 30 week gestation with abdominal pain is presented. Laparotomy was performed for the diagnosis of hypovolemic shock secondary to suspected abruptio placenta. Intraoperatively, uterine torsion was observed with unilateral absence of the right adnexa. Prompt decision making with aggressive immediate management resulted to favorable maternal outcome.

Human ; Female ; Adult ; Fallopian Tubes

Takayasu’s arteritis or Pulseless Disease is a rare inflammatory disease of the arteries that affects women of childbearing age. Vigilance is necessary, since they can develop devastating complications such as hypertension, multiple organ dysfunction, stenosis that hinder regional blood flow, and restricted intrauterine growth. The objectives of this paper are to present a rare case of successful pregnancy in active Takayasu’s arteritis, to discuss complication of active Takayasu’s arteritis in pregnancy, and to discuss management of pregnancy with active Takayasu’s arteritis. A case of a 35-year-old primigravida, who spontaneously conceived with an active case of Takayasu’s arteritis is presented. Currently, management of Takayasu’s arteritis is ambiguous and no consensus is offered during pregnancy. An interdisciplinary collaboration of obstetricians, perinatologists, rheumatologists, nephrologists and pediatricians are indispensable to improve maternal and fetal prognosis.
Takayasu Arteritis