Case Report: Uterine Torsion – A Rare Cause of Right Lower Quadrant Pain

Uterine torsions are very rare. In an article by Matsumoto et al published in 2021, only 25 cases have been documented on PubMed in non-gravid females in the past 20 years. Uterine torsion is defined as rotation of the uterus greater than 45 degrees in the long axis. Rotation can occur anywhere between 45 degrees to 180 degrees. The torsion can be due to a congenital anomaly or an obstetrics emergency such as with an ovarian torsion. Uterine torsions presenting as an obstetrics emergency carries the potential for irreversible ischemic damage to the uterus, and just as in ovarian torsion, is predisposed by a mass such as ovarian cyst, tumors, or fibroids. Uterine torsions are mostly found in gravid patients since the fetus is an impetus for rotation. Findings in non-gravid women are very rare and only a few cases have been documented. One of the reasons why uterine torsions are so rare is that they present with very non-specific symptoms or hardly any symptoms at all. Additionally, some cases are not diagnosed until laparoscopic surgery or incidentally during pelvic surgery4 As a result, clinicians usually do not even consider uterine torsion in their differential for lower pelvic pain