Uterine torsion, a rare cause of acute abdominal pain in the third trimester of pregnancy: A case report.

A 23-year-old, para 1 with a previous vaginal delivery and history of Ehlers-Danlos syndrome, presented at 36+5 weeks gestation with epigastric pain and irregular uterine tightenings. She was haemodynamically stable and afebrile, the uterus was soft and nontender with a multips os on examination. Cardiotocography was reassuring and obstetric Ultrasound (USS) showed a flexed breech position, with normal growth, liquor volume and dopplers. An abdominal USS revealed a para-umbilical hernia. With worsening pain at the hernia site and suspected strangulation a caesarean section (CS) was performed in the presence of the general surgeons.