Secondary amenorrhea with severe intrauterine adhesions and chronic uterine torsion after cesarean section in a teenage girl

This is a case of a 19-year-old patient who developed secondary amenorrhea after Cesarean section and severe postpartum hemorrhage. The pelvic examination revealed narrowing of the upper vagina and inaccessible cervix. Laparotomy revealed a dextrorotated uterus with massive intrauterine adhesions. All adhesions were excised with reconstruction of normal uterine anatomy. The patient regained normal menstrual cycles. There was no evidence of any endocrinopathies. According to a 10-year MEDLINE search of the literature, chronic torsion of the uterus after Cesarean section has not been previously described.