Prenatal sonographic and MRI findings in a pregnancy complicated by uterine sacculation: case report and review of the literature

Abstract

ABSTRACT

Spontaneous repositioning of incarcerated gravid uterus following general anaesthesia: a case report and review of literature

“…9 Cases of maternal and foetal death have also been described. 10,11 The incidence of incarcerated uterus has been quoted to be around 1 in 3000 to 10,000 cases. 12 In the authors' institution where electronic medical record has been used over period of 5 years involving more than 60,000 deliveries, this is the first case ever recorded.…”

Recurrent incarceration and/or sacculation of the gravid uterus: A review

“…This was also true in the first pregnancy of our patient. When the cervix is elongated and wedged behind the symphysis, abdominal sonography is superior to transvaginal sonography in revealing the position of the cervix and its internal ostium and defining the relationships between the bladder, uterus and vagina [19]. Magnetic Resonance Imaging (MRI) appears to be the imaging method of choice [20,21].…”

“…Magnetic Resonance Imaging (MRI) appears to be the imaging method of choice [20,21]. Characteristic MRIfindings of a posterior incarceration is a "free-standing", T-shaped multi-layer myometrium on sagittal images and a small cleft-like cystic lesion between the bladder and the sacculation on axial images, corresponding to the stretched cervix and the caudal part of the uterus [10,19,20,21]. This is illustrated in Figure 2.…”

“…In order to achieve this, it has been advised to examine all women with known retroverted uterus during the twelfth week of pregnancy [6,9]. Whereas some authors recommend intervention only in symptomatic women [1,19], most others agree attempting to replace the uterus in its natural position as soon as possible after diagnosis. Repositioning of a retroverted uterus is most likely to be successful in early pregnancy.…”

Thin anterior uterine wall with incomplete uterine rupture in a primigravida detected by palpation and ultrasound: a case report

“…A few reports have indicated that a uterine rupture can occur in primigravida, although this is extremely rare [2,3], with etiological or risk factors including a history of uterine surgery, labor augmentation or underlying connective tissue disease [2-4]. A thin uterine wall, as a result of uterine sacculation [5,6] or uterine diverticulum [7], may also induce uterine rupture.…”