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May 17, 2026Case Reports in Obstetrics and GynecologyOpen Access

A Case Report and Review: Extreme Uterine Torsion Complicated by Couvelaire Uterus and Intrauterine Fetal Demise

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EAEiman Alazemi

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Overview

Case report discusses severe uterine torsion leading to fetal demise, emphasizing surgical strategies and challenges.

Key Points

  • This case report aims to describe an extreme uterine torsion with complications and the associated surgical challenges.
  • Described the case of a 36-year-old multiparous woman with severe abdominal pain and hemodynamic instability.
  • Performed emergency laparotomy revealing extreme uterine torsion, placental abruption, and Couvelaire uterus.
  • Implemented stepwise detorsion and utilized uterotonics, tranexamic acid, and fibrinogen concentrate for hemorrhage management.
  • Managed hemorrhage effectively while preserving the uterus, with successful postoperative recovery without complications.

Cite This Study

Eiman Alazemi (2026) studied this question.

synapsesocial.com/papers/6a095bdd7880e6d24efe1ac9https://doi.org/10.1155/crog/8786733
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