Gynaecology and Obstetrics Section

Diagnosis - Rectal examination

DIAGNOSIS

Direction

• In right uterine torsion the right broad ligament is pulled strongly downward and the left broad ligament is pulled tightly across over the top of the cervix and the body of the uterus.
• In left side uterine torsion the left broad ligament is pulled strongly downward and the right broad ligament is pulled tightly across over the top of the cervix and the body of the uterus. The middle uterine arteries on both sides are tightly stretched.

• The fetus is often difficult to palpate but the position of the fetus may help to indicate the degree of torsion.
• A dorso pubic position of the fetus usually occurs when the torsion is 180˚.