A non-laboring patient with a breech-presenting fetus and oligohydramnios at 41 weeks'
gestation underwent elective cesarean delivery. The infant was delivered atraumatically
through a wide transverse incision of the lower uterine segment. Severe left-sided
torticollis was noted immediately at delivery. The torticollis subsequently responded
to physiotherapy with minimal residual facial asymmetry. This case and the literature
suggest that torticollis itself may predispose to breech presentation. Alternatively,
in the case presented, oligohydramnios with subsequent restricted posture may have
contributed to the underlying pathophysiology of this phenomena, which previously
has been noted as associated with and as a possible sequela of traumatic vaginal breech
delivery.
Breech presentation - ultrasonography - oligohydramnios - torticollis - birth trauma
