What is incarcerated gravid uterus?
The term “incarcerated gravid uterus” refers to a pregnant uterus that is trapped between the sacral promontory and pubic symphysis. This topic will discuss the pathophysiology, risk factors, clinical presentation, diagnosis, complications, and management of this rare condition.
What does an incarcerated uterus feel like?
Presenting symptoms include: pelvic discomfort and lower abdominal or back pain, dysuria, urinary frequency, urinary retention, overflow incontinence, urinary stasis leading to cystitis, vaginal bleeding, rectal pressure, tenesmus, and progressive constipation.
Can an incarcerated uterus fix itself?
An incarcerated gravid uterus is an uncommon complication of pregnancy. On rare occasions, an incarcerated gravid uterus resolves spontaneously even in the third trimester of pregnancy.
What happens with an incarcerated uterus?
An unresolved incarcerated uterus can lead to further pain, vaginal bleeding, loss of pregnancy or premature delivery. Also, the uterus may develop a uterine sacculation, that is a part of its back wall softens like an aneurysm and allows expansion of the fetus into the abdomen with a risk of uterine rupture.
How do you fix an incarcerated uterus?
Management of uterine incarceration in the nongravid female has generally been approached surgically in the few case reports currently available. Surgical options include myomectomy with or without abdominal hysterectomy and abdominal hysterectomy without myomectomy.
How can you reduce an incarcerated uterus?
Methods used for reduction of an incarcerated uterus include decompression of the maternal bladder, manual reduction in the dorsal lithotomy position with manipulation of the uterine fundus transvaginally or transrectally, tenaculum pressure in the Trendelenburg or knee–chest position, or having the patient hang over …
How common is incarcerated uterus?
Background. An incarcerated uterus is a rare obstetric complication, with a reported incidence of 1 in 3000 pregnancies [1]. It occurs when a retroverted uterus does not resolve beyond mid-gestation and the uterine corpus becomes confined in the hollow of the sacrum.
How do you reduce an incarcerated uterus?
Can you see incarcerated uterus on ultrasound?
Characteristic MRI and ultrasound imaging features enable definitive diagnosis of incarcerated uterus, which reduces risks of complications that can lead to maternal and fetal morbidity and mortality.
How is an incarcerated uterus diagnosed?
Uterine incarceration was diagnosed based on pelvic examination and abdominal ultrasound. A Foley catheter was placed and manual reposition was successful.
What causes an incarcerated uterus?
An incarcerated uterus is a rare obstetric complication, with a reported incidence of 1 in 3000 pregnancies [1]. It occurs when a retroverted uterus does not resolve beyond mid-gestation and the uterine corpus becomes confined in the hollow of the sacrum.
