Incarcerated retroverted uterus-a non recurring complication of pregnancy

O'Connell, M P; Ivory, C; Hunter, Robert W.

doi:10.1080/01443619966092

Cited by 21 publications

(9 citation statements)

References 4 publications

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“…Complications that arise from an incarcerated uterus are thought to result in adverse perinatal outcomes [1][2][3][5][6][7][8]. Extreme dislocation of the uterine cervix causes compression of the urethra and anatomical distortion of the bladder, thus presenting symptoms like dysuria, urinary retention, and overflow incontinence, as well as abdominal pain and worsening constipation [1,2,8]. Reportedly, the most severe cases led to bladder atony, renal failure, hypertensive disorders of pregnancy, and pulmonary embolism [5,7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms of uterine incarceration during pregnancy are thought to be non-specific, such as pelvic discomfort, urinary retention, and gastrointestinal symptoms, and some patients are asymptomatic altogether [1,3,4]. Diagnosis is sometimes difficult because the hints of this disease are quite ambiguous, such as a non-palpable cervix and/or pelvic mass in filling the posterior cul-de-sac upon vaginal examination [1,2]. If a gravid uterus remains to be incarcerated, adverse outcomes, such as urinary retention, renal failure, miscarriage, preterm labor, and thrombosis, can be anticipated [3,[5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Incarcerated Gravid Uterus: Spontaneous Resolution Is Not Rare

et al. 2021

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Aim: Incarcerated gravid uterus is a rare obstetrical complication that leads to adverse outcomes, especially if the uterus remains incarcerated and the condition goes undiagnosed until delivery. However, there is no consensus regarding the optimal management of this complication because of its rarity. In this study, we aimed to elucidate the incidence of incarcerated gravid uterus, as well as its natural courses and perinatal outcomes. Methods: We retrospectively reviewed medical records of patients who had incarcerated gravid uterus and managed at Osaka City University Hospital between April 2011 and March 2021. Incarcerated gravid uterus was defined as a retroverted or retroflexed uterus after 16 weeks of gestation. Results: There were 14 incarcerated cases among 6958 pregnant women, and 13 of them had some kind of gynecological complication and/or history. Spontaneous resolution of incarcerated gravid uterus after 16 gestational weeks was observed in six cases before the late second trimester and five cases at the late second trimester to early third trimester. Three cases remained incarcerated at term or near-term. One case with adenomyosis had severe abdominal pain, although it was difficult to ascertain whether the cause of pain was triggered by adenomyosis and/or incarceration. One case was misdiagnosed as placenta previa, and the uterine cervix was subsequently injured during cesarean delivery, resulting in massive hemorrhaging. Conclusions: Approximately 1 in 2300 pregnancies continued to be in an incarcerated condition at term or near-term, and 78.5% of cases showed a spontaneous resolution after 16 weeks of gestation. Expectant management with careful attention to the incarcerated gravid uterus may be one option in situations where there are no severe symptoms related to the incarceration itself.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incarcerated Gravid Uterus: Spontaneous Resolution Is Not Rare

et al. 2021

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“…In this case, the retention of urine occurred later than usual. As reported by others 4–6 , the diagnosis of incarceration may be overlooked by ultrasound examination magnetic and resonance imaging. The large fibroid on the anterior wall of the uterus made the interpretation of the ultrasound images difficult.…”

Section: Discussionmentioning

confidence: 82%

Conservative treatment of an incarcerated gravid uterus

Hamoda

Chamberlain

Moore

et al. 2002

BJOG

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“…2 Risk factors for this condition include post-surgical adhesions, pelvic inflammatory disease, fibroids, and laxity of supporting tissues. 3 The most typical presentation occurs between 14 and 16 weeks of gestation with a variety of symptoms mimicking common gastrointestinal, genitourinary, and musculoskeletal conditions. Physical findings include anterior displacement of the uterus, anterior angulation of the vaginal angle, retroverted uterus, cervical displacement toward cephalad and a low-lying fundal height for gestational age.…”

Section: Discussionmentioning

confidence: 99%

Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients

Slama¹,

Barry²,

McManus³

et al. 2015

WestJEM

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Gravid uterine incarceration (GUI) is a condition that is well discussed in literature; however, there are few acute diagnoses in the emergency department (ED). We present a case series where three multiparous females presented to the ED with non-specific urinary symptoms. On bedside ultrasound, each patient was noted to have a retroverted uterus and inferior bladder entrapment under the sacral promontory. GUI is a rare condition that can lead to uremia, sepsis, peritonitis, and ultimately maternal death. Emergency physicians should include GUI in their differential diagnosis in this patient population and use bedside ultrasound as an adjunct to diagnosis.

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Incarcerated retroverted uterus-a non recurring complication of pregnancy

Cited by 21 publications

References 4 publications

Incarcerated Gravid Uterus: Spontaneous Resolution Is Not Rare

Incarcerated Gravid Uterus: Spontaneous Resolution Is Not Rare

Conservative treatment of an incarcerated gravid uterus

Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients

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