{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:36:13Z","timestamp":1787016973906,"version":"build-2736575974"},"reference-count":32,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,30]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>A pregnant woman at 32 weeks\u2019 pregnancy presented to the Emergency Department with cardiopulmonary arrest requiring active cardiopulmonary resuscitation and perimortem caesarean section. Operative findings revealed a fresh stillborn foetus and a completely detached placenta with 4 L of retroplacental blood and blood clots, suggesting a severe case of placental abruption. An inadvertent posterior uterine wall incision was detected upon uterine closure. A formal exploratory laparotomy was performed after the patient was well-stabilised following the return of spontaneous circulation. The inadvertent posterior uterine wall incision indicated a 135\u00b0 uterine torsion. The mother survived but suffered severe brain injury.<\/jats:p>","DOI":"10.1136\/bcr-2024-264716","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T05:15:15Z","timestamp":1771478115000},"page":"e264716","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Acute uterine torsion complicated by severe placental abruption resulting in maternal cardiopulmonary arrest"],"prefix":"10.1136","volume":"19","author":[{"given":"Rohana","family":"Ismail","sequence":"first","affiliation":[{"name":"Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0914-6079","authenticated-orcid":false,"given":"Roziana","family":"Ramli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noraslawati","family":"Razak","sequence":"additional","affiliation":[{"name":"Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1382-0781","authenticated-orcid":false,"given":"Nor Jumizah","family":"Abd Kadir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"2026021821150751000_19.2.e264716.1","unstructured":"Schmidt P , Skelly CL , Raines DA . Placental abruption. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2024."},{"key":"2026021821150751000_19.2.e264716.2","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s12884-023-05377-z","article-title":"Uterine torsion complicated by severe placental abruption in the second trimester: a case report and literature review","volume":"23","author":"Liu","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"2026021821150751000_19.2.e264716.3","doi-asserted-by":"crossref","first-page":"3473","DOI":"10.18203\/2320-1770.ijrcog20203343","article-title":"Uterine torsion in pregnancy, expect the unexpected: case report","volume":"9","author":"Mokhtar","year":"2020","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2026021821150751000_19.2.e264716.4","first-page":"QD06","article-title":"A Rare Cause of Placental Abruption: Uterine Torsion","volume":"10","author":"Ulu","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"2026021821150751000_19.2.e264716.5","article-title":"A Case Report of Uterine Torsion: An Obstetric Emergency During Pregnancy","volume":"16","author":"Gaikwad","year":"2024","journal-title":"Cureus"},{"key":"2026021821150751000_19.2.e264716.6","doi-asserted-by":"crossref","DOI":"10.1177\/0300060520920404","article-title":"Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature","volume":"48","author":"Yin","year":"2020","journal-title":"J Int Med Res"},{"key":"2026021821150751000_19.2.e264716.7","doi-asserted-by":"publisher","DOI":"10.3109\/00016349209021049"},{"key":"2026021821150751000_19.2.e264716.8","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/j.tjog.2013.10.029","article-title":"Asymptomatic torsion of a gravid uterus","volume":"52","author":"Homam","year":"2013","journal-title":"Taiwan J Obstet Gynecol"},{"key":"2026021821150751000_19.2.e264716.9","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/S1701-2163(16)32180-6","article-title":"Third trimester uterine torsion: case report","volume":"28","author":"Wilson","year":"2006","journal-title":"J Obstet Gynaecol Can"},{"key":"2026021821150751000_19.2.e264716.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2012-006359","article-title":"Uterine torsion in second trimester of pregnancy followed by a successful-term pregnancy","volume":"2012","author":"Fatih","year":"2012","journal-title":"BMJ Case Rep"},{"key":"2026021821150751000_19.2.e264716.11","article-title":"A case of torsion of gravid uterus caused by leiomyoma","volume":"2011","author":"Deshpande","year":"2011","journal-title":"Case Rep Obstet Gynecol"},{"key":"2026021821150751000_19.2.e264716.12","article-title":"Torsion of the gravid uterus","volume":"109","author":"Piot","year":"1973","journal-title":"CMAJ"},{"key":"2026021821150751000_19.2.e264716.13","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-195606000-00001"},{"key":"2026021821150751000_19.2.e264716.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.09.003"},{"key":"2026021821150751000_19.2.e264716.15","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-224388","article-title":"Uterine torsion and subsequent rupture in a gravid bicornuate uterus associated with an elevated alpha-fetoprotein","volume":"2018","author":"LaHood","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2026021821150751000_19.2.e264716.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2004.12.003"},{"key":"2026021821150751000_19.2.e264716.17","article-title":"A Case of Abruptio Placentae due to the Torsion of Gravid Uterus","volume":"2014","author":"Zullino","year":"2014","journal-title":"Case Rep Obstet Gynecol"},{"key":"2026021821150751000_19.2.e264716.18","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2013-202974","article-title":"A rare obstetric emergency: acute uterine torsion in a 32-week pregnancy","volume":"2014","author":"Moores","year":"2014","journal-title":"BMJ Case Rep"},{"key":"2026021821150751000_19.2.e264716.19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2010.01030.x"},{"key":"2026021821150751000_19.2.e264716.20","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/153.4.332"},{"key":"2026021821150751000_19.2.e264716.21","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.18203\/2320-1770.ijrcog20210754","article-title":"Uterine torsion in a case of previous two caesarean section mimicking uterine rupture: a case report","volume":"10","author":"Agrawal","year":"2021","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2026021821150751000_19.2.e264716.22","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1111\/1471-0528.14521","article-title":"The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study","volume":"124","author":"Beckett","year":"2017","journal-title":"BJOG"},{"key":"2026021821150751000_19.2.e264716.23","first-page":"571","article-title":"Perimortem cesarean delivery","volume":"68","author":"Katz","year":"1986","journal-title":"Obstet Gynecol"},{"key":"2026021821150751000_19.2.e264716.24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.02.038"},{"key":"2026021821150751000_19.2.e264716.25","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1111\/j.1471-0528.1965.tb00061.x","article-title":"THE MECHANICAL EFFECTS OF THE GRAVID UTERUS IN LATE PREGNANCY","volume":"72","author":"Kerr","year":"1965","journal-title":"J Obstet Gynaecol Br Commonw"},{"key":"2026021821150751000_19.2.e264716.26","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.bjae.2020.03.007","article-title":"Cardiopulmonary resuscitation in the pregnant patient","volume":"20","author":"Madden","year":"2020","journal-title":"BJA Educ"},{"key":"2026021821150751000_19.2.e264716.27","first-page":"e14","article-title":"Maternal collapse in pregnancy and the puerperium: Green-top Guideline no.56","volume":"127","author":"Chu","year":"2019","journal-title":"BJOG"},{"key":"2026021821150751000_19.2.e264716.28","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1097\/00000542-200205000-00046","article-title":"Successful resuscitation after maternal cardiac arrest by immediate cesarean section in the labor room","volume":"96","author":"Finegold","year":"2002","journal-title":"Anesthesiology"},{"key":"2026021821150751000_19.2.e264716.29","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00127-6"},{"key":"2026021821150751000_19.2.e264716.30","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1982.03330080053029"},{"key":"2026021821150751000_19.2.e264716.31","doi-asserted-by":"crossref","first-page":"70","DOI":"10.5847\/wjem.j.1920-8642.2018.01.012","article-title":"Perimortem caesarean section: A case report of an out-of-hospital arrest pregnant woman","volume":"9","author":"Lee","year":"2018","journal-title":"World J Emerg Med"},{"key":"2026021821150751000_19.2.e264716.32","first-page":"991","article-title":"Infant survival following delayed postmortem cesarean delivery","volume":"76","author":"Lopez-Zeno","year":"1990","journal-title":"Obstet Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264716","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T05:15:19Z","timestamp":1771478119000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":32,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,18]]},"published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1136\/bcr-2024-264716"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264716","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]}}}