{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:36:16Z","timestamp":1786977376836,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>In this case, a patient experienced rare uterine torsion during pregnancy, detected by MRI. Diagnosis before Cesarean is helpful to achieve better outcomes, highlighting the importance of attention in high\u2010risk groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Uterine torsion during pregnancy is a rare complication and its risk factors and diagnostic modalities have not yet been clearly defined. Here we present a case of uterine torsion due to unexpected pelvic adhesion. A 34\u2010years\u2010old primigravida patient underwent an emergency cesarean section for aggravated maternal preeclampsia symptoms at 34\u2009+\u20090\u2009weeks of gestation. Intraoperatively, after the baby was out, it was found that the uterus was rotated about 90 degrees to the right by dense pelvic adhesion in posterior uterine wall. In this patient, a rightward vaginal stretch was represented through a retrospective review of magnetic resonance imaging (MRI) before childbirth. To our knowledge, this is the first reported case of uterine torsion during pregnancy with MRI. Diagnosing uterine torsion in advance or paying attention to incisions during operative delivery will lead to better management in this condition and good perinatal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8384","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T04:19:24Z","timestamp":1705033164000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case report of torsion of the gravid uterus caused by pelvic adhesion"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1786-0632","authenticated-orcid":false,"given":"Seokyung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Ajou University School of Medicine  Suwon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Ji","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ajou University School of Medicine  Suwon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Ju","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology Ajou University School of Medicine  Suwon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Wook","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ajou University School of Medicine  Suwon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong","family":"In\u00a0Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ajou University School of Medicine  Suwon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","first-page":"194","article-title":"Torsion of the gravid uterus. A report of two cases","volume":"35","author":"Biswas M","year":"1990","journal-title":"J Reprod Med"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349209021049"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.09.003"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)32180-6"},{"key":"e_1_2_9_6_1","first-page":"1","article-title":"A case of torsion of gravid uterus caused by leiomyoma. Case rep","volume":"2011","author":"Deshpande G","year":"2011","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(95)80011-Z"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(75)90938-2"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(81)90714-6"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.33.10.1873"},{"issue":"4","key":"e_1_2_9_11_1","first-page":"245","article-title":"Uterine torsion with maternal death: our experience and literature review","volume":"32","author":"Gui\u00e9 P","year":"2005","journal-title":"Clin Exp Obstet Gynecol"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tria.2020.100084"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2017160170"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(94)00283-J"},{"issue":"3","key":"e_1_2_9_15_1","first-page":"181","article-title":"Deliberate posterior low transverse incision at cesarean section of a gravid uterus in 180 degrees of torsion: a case report","volume":"56","author":"Albayrak M","year":"2011","journal-title":"J Reprod Med"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.1996.tb00950.x"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8384","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T22:56:25Z","timestamp":1706828185000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/ccr3.8384"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8384","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.169323505.56425705\/v1","asserted-by":"object"}]},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8384"}}