Sonographic findings of uterine sacculation during pregnancy

Lee, S. W.; Kim, M. Y.; Yang, Jae Hyug; Moon, Min Hoan; Cho, Jeong Yeon

doi:10.1002/uog.6118

Cited by 10 publications

(6 citation statements)

References 6 publications

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“…The cervix is displaced upwards, elongated and lodged behind the symphysis, making it difficult to localize by transvaginal ultrasonography 2,12 . Transabdominal ultrasonography can reveal the positions of the cervix and internal os 7 . In some patients, including ours, the internal os cannot be detected due to myoma or for other reasons.…”

Section: Discussionmentioning

confidence: 92%

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Pregnancy complicated by uterine sacculation due to a huge myoma

Shima

Serikawa

Itsukaichi

et al. 2012

J of Obstet and Gynaecol

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Uterine sacculation is rare complication affecting the pregnant uterus, and is difficult to diagnose. Sacculation consists of a transitory pouch or sac-like structure caused by inverted uterine polarity. Vaginal delivery is difficult, and even cesarean section can be difficult because of peculiar risks associated with uterine sacculation. We report a pregnant patient with posterior sacculation due to a huge myoma in the lower anterior uterine segment. Sacculation, especially that complicated by a huge myoma, is very difficult to accurately diagnose and makes cesarean section surgery challenging. Because of the myoma in our present case, opening the lower uterine segment was impossible with cesarean section. The uterus was instead opened by corporeal vertical cesarean section. Myomectomy was not performed and the giant myoma thus remained. Postoperative assessment revealed the uterus to still be retroverted. The giant myoma was the cause of sacculation in this case.

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Section: Discussionmentioning

confidence: 92%

“…With cesarean section, there are risks of bladder and cervical injuries, because both are displaced from their normal positions and thus difficult to identify 2,3 . Correct diagnosis based on ultrasonography and magnetic resonance imaging (MRI)‐findings is necessary for operative management 3,6,7 …”

Section: Introductionmentioning

confidence: 99%

Pregnancy complicated by uterine sacculation due to a huge myoma

Shima

Serikawa

Itsukaichi

et al. 2012

J of Obstet and Gynaecol

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“…Uterine sacculation is a rare complication of pregnancy in which an outpouching develops from the uterus and may contain fetal parts or placenta or both. Most existing literature describes uterine sacculation diagnosed antenatally in the setting of a retroverted, incarcerated uterus in the second or early third trimester 2,8,9 or based on grossly abnormal prenatal ultrasound findings. 1,10 In contrast, the two cases above report uterine sacculations diagnosed and managed immediately postpartum.…”

Section: Discussionmentioning

confidence: 99%

“…There were no obvious anatomic distortions of the cervix or corpus on ultrasonogram, as described in other cases. 1,2,8 Additionally, these sacculations may have been clinically impossible to detect given their location in the fundus as opposed to lower in the uterus, where sacculation can cause cervical displacement. On review of prenatal ultrasound images from case 1, the most recent ultrasonogram, at 30 weeks of gestation, showed no obvious uterine deformation or areas of concern (Fig.…”

Section: Discussionmentioning

confidence: 99%

Uterine Sacculation With Entrapped Placenta After Delivery

Solotke,

Boyles,

Rood

et al. 2024

Obstetrics &Amp; Gynecology

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BACKGROUND: Uterine sacculation refers to a temporary pouch or sac within the uterus that may contain the placenta or fetal parts and that may be diagnosed antepartum or after delivery. There is very limited published information about this rare condition and its management. CASES: We report two cases of uterine sacculation with entrapped placenta diagnosed immediately postpartum, managed with two different approaches. In one case, the patient underwent immediate laparotomy and placental extraction. In the second case, the patient was managed conservatively but ultimately developed signs of infection and underwent laparotomy. CONCLUSION: Uterine sacculation with entrapped placenta is a rare condition that is a potential etiology of retained placenta. Obstetric clinicians should be aware of this diagnosis and the management strategies available.

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“…Sacculation occurs in about one in 3000 pregnancies with retroverted uterus. 1 The condition has been defined as a transitory pouch or saclike structure developing from a portion of the gravid uterus and containing all the layers of the uterus. This can cause spontaneous miscarriage, intrauterine fetal death, uterine rupture, preterm delivery, abnormally adherent retained placenta and postpartum hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Trapped Placenta and Conceptus in Uterine Sacculation: Two Rare Case Reports

Kokila¹,

Dwivedi²,

Indira³

et al. 2013

Journal of South Asian Federation of Obstetrics and Gynaecology

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Uterine sacculation is a very rare pregnancy complication having an incidence of about one in 3000 pregnancies. It is more commonly associated with retroverted uterus. Isolated sacculation either congenital or acquired is very rare. Without timely intervention, this can cause miscarriage, intrauterine fetal death, preterm delivery, uterine rupture, adherent/retained placenta and postpartum hemorrhage. Retained placenta is a common complication of congenital sacculation. Acquired sacculation occurs secondary to uterine surgeries, like uterine curettage, hysterotomy, cesarean section or following misoprost use. A rare case of retained placenta in the congenital uterine sacculation, first diagnosed during laparotomy done for failed manual removal of placenta, which was removed by hysterotomy. Another case with failed induction of abortion for intrauterine fetal demise and threatened rupture of acquired sacculation are reported.Awareness and early diagnosis of uterine sacculation allows clinicians to be prepared for emergency situations and better manage complications, to limit fetomaternal morbidity and mortality.Abbreviations: IUGR: Intrauterine growth restriction; IUFD: Intrauterine fetal death.

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Sonographic findings of uterine sacculation during pregnancy

Cited by 10 publications

References 6 publications

Pregnancy complicated by uterine sacculation due to a huge myoma

Pregnancy complicated by uterine sacculation due to a huge myoma

Uterine Sacculation With Entrapped Placenta After Delivery

Trapped Placenta and Conceptus in Uterine Sacculation: Two Rare Case Reports

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