Incarceration of early gravid uterus with adenomyosis and myoma: report of two patients managed with uterine reduction

Kim, Hee-Sun; Park, Ji‐Eun; Kim, Seo-Yeon; Kim, Jung-Eun; Chae, Su-Hyun; Sohn, In-Sook; Hwang, Han Sung; Kwon, Han Sung

doi:10.5468/ogs.2018.61.5.621

Cited by 12 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[7] Risk factors for an incarcerated gravid uterus include previous pelvic surgery, pelvic inflammatory disease, adhesions from endometriosis, large uterine fibroids, and uterine malformations, among others. [8] An incarcerated gravid uterus can also occur without predisposing factors, but this is not common. [9] We believe that the incarcerated gravid uterus in the second patient developed secondary to her history of multiple pelvic and abdominal surgeries.…”

Section: Discussionmentioning

confidence: 99%

Abnormal uterine position during pregnancy secondary to abdominal surgery: Two case reports

Li¹,

Wu²,

Wei³

et al. 2022

Medicine

View full text Add to dashboard Cite

Rationale:The umbilical cord is the way to exchange gas, supply nutrients, excrete metabolized. Thrombosis of the umbilical cord leads to fetal hypoxia, which jeopardizes fetal health and can cause fetal death. Umbilical vessel thrombosis, which is rarely reported, is difficult to detect prenatally.Patient concerns: Both individuals included in this study had a history of abdominal operation before pregnancy. The abnormal uterine position demonstrated in the first patient developed secondary to adhesions between the anterior bladder wall and lower segment of the uterus. As the uterus increased in size in proportion with the gestational age, the uterine body continued to enlarge even as the lower uterine segment remained fixed by the adhesions, which resulted in cervical displacement. In comparison, the abnormal uterine position in the second patient was due to a rare case of uterine incarceration developed.Diagnosis: Both cases were diagnosed as abnormal uterine position during pregnancy secondary to abdominal surgery. Interventions:The first patient underwent a cesarean section at 33 weeks and 5 days age of gestation for pregnancy complications. The second patient performed a cesarean section at 37 weeks age of gestation.Outcomes: Due to reasonable treatment, the 2 cases achieved good maternal-infant outcomes. Conclusion:Abnormal uterine position during pregnancy should be considered seriously, because it can affect the prognosis of the mother and child. When appropriate, a cesarean section is an effective method for terminating such pregnancies. During cesarean section, a longitudinal skin incision may be more beneficial in avoiding secondary injuries. However, the choice of uterine incision should be adjusted for each patient. Care should be given to prevent postpartum hemorrhage.

show abstract

Section: Discussionmentioning

confidence: 99%

Abnormal uterine position during pregnancy secondary to abdominal surgery: Two case reports

Li¹,

Wu²,

Wei³

et al. 2022

Medicine

View full text Add to dashboard Cite

show abstract

Role of ultrasound in diagnosing gravid uterine incarceration

Dong,

Liu,

Dong

et al. 2024

J of Clinical Ultrasound

View full text Add to dashboard Cite

ObjectiveTo summarize the ultrasound characteristics, diagnostic experiences, and pregnancy outcomes of gravid uterine incarceration.MethodsA retrospective analysis was conducted on the data of pregnant women diagnosed with gravid uterine incarceration by prenatal ultrasound at the Ultrasound Department of the Third Affiliated Hospital of Zhengzhou University from January 2020 to December 2023. Clinical data, ultrasound features, and pregnancy outcomes were analyzed.ResultsIn this study, a total of 23 pregnant women were included. Of these, eight were diagnosed in early pregnancy, and 15 were diagnosed in mid‐pregnancy. Seven participants had concurrent uterine fibroids, 10 had a history of abdominal or pelvic surgery, and two had ovarian cysts. A total of 13 cases presented with symptoms of urethral obstruction, three with rectal pressure symptoms, five cases with tight and stiff lower abdomen and two cases without special discomfort. Seventeen cases exhibited cervical compression with thinning and elongation, measuring approximately 39 to 73 mm. All 23 cases underwent manual or knee‐chest positioning repositioning, with one case requiring surgical intervention. Ultimately, 22 cases resulted in full‐term live births, one case experienced fetal demise at 24 weeks and one case experienced gravid uterine incarceration again in the third week after successful manual reduction, and manual reduction was performed again.ConclusionEarly diagnosis is critical for obstetric management and clinical prognosis, facilitating the successful release of the incarcerated uterus. The earlier the diagnosis, the higher the likelihood of successfully releasing the incarcerated uterus.

show abstract

Incarcerated gravid uterus: a new treatment using the transvaginal ultrasound probe and narrative literature review

Kantorowska,

Patberg,

Ali

et al. 2024

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Incarceration of early gravid uterus with adenomyosis and myoma: report of two patients managed with uterine reduction

Cited by 12 publications

References 11 publications

Abnormal uterine position during pregnancy secondary to abdominal surgery: Two case reports

Abnormal uterine position during pregnancy secondary to abdominal surgery: Two case reports

Role of ultrasound in diagnosing gravid uterine incarceration

Incarcerated gravid uterus: a new treatment using the transvaginal ultrasound probe and narrative literature review

Contact Info

Product

Resources

About