Incarceration of the gravid uterus: diagnosis and preoperative evaluation by magnetic resonance imaging

Dierickx, Inge; Meylaerts, L; Holsbeke, C. D. Van; Jonge, Eric T. de; I, Martens; Mesens, Tinne; Gyselaers, Wilfried

doi:10.1016/j.ejogrb.2014.05.037

Cited by 23 publications

(35 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is relatively more common during the fi rst trimester of gestation (10 -15%) which, as the gestation progresses into the second trimester resolves spontaneously as the gravid uterus grows out of the true pelvis. Uterine incarceration at term pregnancies are observed at a rate of about 1:3000 (Diericks et al 2014). Th e association of anomalous placental insertions (in our case, a placenta percreta) with uterine incarceration has been referred to in only a few publications, previously (Sutter et al 2006;De Friend et al 2000;Pongthai and Sumawong 1978).…”

Section: Introductionmentioning

confidence: 72%

“…Advanced imaging modalities in addition to the ultrasound are necessary for the diagnosis of uterine incarceration. Magnetic resonance imaging (MRI) especially appears to be the appropriate choice in these cases for which a diagnostic algorithm has been published (Diericks et al 2014). MRI has been suggested to be the best means of delineating the location of the cervix, the incarcerated uterine segment and the placental location.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical presentation of placenta percreta with uterine incarceration in the second trimester

Özyürek

Kahraman

Dogan

et al. 2014

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Clinical presentation of placenta percreta with uterine incarceration in the second trimester

Özyürek

Kahraman

Dogan

et al. 2014

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

show abstract

“…It should be noted that there are certain indications for pelvic MRI in pregnant patients in which DWI does not particularly aid in diagnosis, such as in diagnosis of acute pelvic pain for other reasons, such as an obstructing ureteral stone, 94 small bowel obstruction, uterine rupture, uterine incarceration, 95 and gonadal vein thrombosis. 50 Similarly, fetal MRI is also beyond the scope of this article, but techniques for performing fetal MRI have greatly advanced in recent years.…”

Section: Resultsmentioning

confidence: 99%

How Can Pelvic MRI with Diffusion-Weighted Imaging Help My Pregnant Patient?

et al. 2019

View full text Add to dashboard Cite

The purpose of this review is to explain how diffusion-weighted imaging (DWI) is used during magnetic resonance imaging (MRI) exams in pregnant patients for specific maternal indications, including evaluation of acute pelvic pain, adnexal masses, cancer diagnosis and staging, and morbidly adherent placenta. While ultrasound is often the appropriate initial imaging for evaluating a pregnant patient, MRI can be helpful when a pelvic ultrasound is indeterminate. MRI has advantages in that it does not use ionizing radiation and has shown no known deleterious effects to the fetus. The use of gadolinium-based contrast is controversial during pregnancy. DWI is a functional sequence performed during an MRI exam, which is valuable in the absence of gadolinium contrast, and can increase the visibility of inflammation, abscesses, and tumors. Case examples will be presented to demonstrate the utility and added value of DWI over conventional anatomic T1- and T2-weighted imaging in diagnosis of maternal disease in the pregnant patient's pelvis.

show abstract

“…Complications of an incarcerated uterus include miscarriage and IUFD [ 3 , 10 , 11 ]. Although the cause of IUFD is unknown, decreased uterine arterial blood flow by malposition of the uterus may play a role [ 3 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Expectant Management Leading to Successful Vaginal Delivery following Intrauterine Fetal Death in a Woman with an Incarcerated Uterus

Yamamoto

Takami

Shindo

et al. 2017

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

Expectant management leads to successful vaginal delivery following intrauterine fetal death in a woman with an incarcerated uterus. Management of intrauterine fetal death in the second or third trimester of pregnancy in women with an incarcerated uterus is challenging. We report a case of successful vaginal delivery following intrauterine fetal death by expectant management in a woman with an incarcerated uterus. In cases of intrauterine fetal death in women with an incarcerated uterus, vaginal delivery may be possible if the incarceration is successfully reduced. If the reduction is impossible, expectant management can reduce uterine retroversion, thereby leading to spontaneous reduction of the incarcerated uterus. Thereafter, vaginal delivery may be possible.

show abstract

Incarceration of the gravid uterus: diagnosis and preoperative evaluation by magnetic resonance imaging

Cited by 23 publications

References 56 publications

Clinical presentation of placenta percreta with uterine incarceration in the second trimester

Clinical presentation of placenta percreta with uterine incarceration in the second trimester

How Can Pelvic MRI with Diffusion-Weighted Imaging Help My Pregnant Patient?

Expectant Management Leading to Successful Vaginal Delivery following Intrauterine Fetal Death in a Woman with an Incarcerated Uterus

Contact Info

Product

Resources

About