Conservative treatment of an incarcerated gravid uterus

Hamoda, Haitham; Chamberlain, P.; Moore, N. W.; Mackenzie, I. Z.

doi:10.1111/j.1471-0528.2002.01124.x

Cited by 30 publications

(20 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Optimal management of incarceration is between 16 and 20 weeks. Options for intervention include passive reduction, manual reduction, colonoscopic reduction, laparoscopic reduction and laparotomy prior to 20 weeks 10. Passive reduction is attempted by asking the patients to assume the knee–chest position for 10 min at least three times a day for 1 week.…”

Section: Discussionmentioning

confidence: 99%

Uterine incarceration in a primigravid retroverted bicornuate uterus

2016

View full text Add to dashboard Cite

Uterine incarceration is a rare complication that usually occurs after the first trimester of pregnancy. It leads to increased maternal and/or fetal morbidity and mortality. Risk factors include retroversion of uterus and other pelvic abnormalities. Clinical presentation includes severe abdominal and pelvic pain symptoms. Patients can present with concurrent urinary symptoms due to increasing distortion of adjacent structures from the enlarging uterus. A high clinical suspicion of uterine incarceration is confirmed with ultrasound. More advanced imaging such as MRI can be used as an adjunct to ultrasound imaging. Progression from expectant management to intervention is recommended as soon as possible to prevent complications such as uterine rupture and fetal demise. In subsequent pregnancies, close monitoring with serial ultrasounds is warranted to monitor for recurrence of incarceration which has been reported in a few rare cases.

show abstract

Section: Discussionmentioning

confidence: 99%

Uterine incarceration in a primigravid retroverted bicornuate uterus

2016

View full text Add to dashboard Cite

show abstract

“…The optimal time of delivery depends on balancing maternal symptoms versus the risk of complications of prematurity for the neonate. A cesarean delivery should be planned, with care taken to avoid injuring the bladder or cervix, which are often displaced anteriorly in the usual location for a transverse hysterotomy 2 , 20 . If the diagnosis of incarceration is not made before cesarean delivery, an inadvertent incision into the elongated cervix or bladder can occur 9 , 13 .…”

Section: Discussionmentioning

confidence: 99%

Sonographic and Magnetic Resonance Imaging Findings in Uterine Incarceration

Fernandes

Sadow

Economy

et al. 2012

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

We show the sonographic and magnetic resonance imaging features of uterine incarceration. Clinical data and imaging findings were retrospectively reviewed for 8 confirmed cases identified by sonography from 2000 to 2010. Two patients had magnetic resonance imaging. Seven of 8 patients (87.5%) presented with abdominal pain; 4 of 8 (50.0%) also had urinary symptoms. All had a retroverted uterus with an elongated anterosuperiorly displaced or poorly visualized cervix on sonography. Magnetic resonance imaging showed similar features, but in both cases, the placental position was misinterpreted because of severe uterine retroversion. Radiologists should be aware of this condition and its imaging features to reduce associated morbidity and mortality.

show abstract

“…1 However, in some previous reports, transarterial embolization was not successful as a result of technical difficulties or the risk of complications. U terine arteriovenous malformations (AVMs) are rare but potentially life-threatening diseases, which may cause excessive uterine bleeding.…”

Section: Casementioning

confidence: 96%

“…1 We present two cases of uterine incarceration that highlight the need for early recognition and prompt management of the condition. Earlier recognition and appropriate treatment may have altered the outcome for the two patients presented.…”

mentioning

confidence: 99%