Successful vaginal delivery at term following ventro-fixation procedure for uterine incarceration

Pabuçcu, Emre Göksan; Kiseli, Mine; Gürsoy, Aslı Yarcı; Bostanci, A; Çağlar, Gamze Sinem; Cengiz, Sevim

doi:10.1080/01443615.2016.1180507

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…Treatment of reposition was successfully attempted in 83 cases. After reposition, 68 patients successfully delivered infants [2, 15, 16, 19, 21, 23, 25, 27, 28, 36, 37, 41, 43, 44, 48, 50, 55, 62, 63, 66, 76, 77, 82, 83, 85, 88–92, 95, 98–101], including 36 term deliveries [16, 19, 21, 27, 28, 35, 37, 41, 43, 44, 48, 50, 62, 66, 76, 77, 87, 91, 98, 100, 101], and information for other cases was not available. Treatment methods vary in invasiveness, and because incarceration was quite rare, no study has yet been performed to determine the supremacy of any single treatment modality.…”

Section: Discussionmentioning

confidence: 99%

Incarceration of the gravid uterus: a case report and literature review

Han

Wang

Han

et al. 2019

BMC Pregnancy Childbirth

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BackgroundIncarceration of the gravid uterus is a rare obstetric disorder that contributes to pregnancy-related complications. To understand its clinical characteristics and managements, we have reviewed the etiology, risk factors, clinical characteristics and current treatments of an incarcerated gravid uterus based on 162 cases reported in the English language literature, including our patient.Case presentationA 25-year-old primigravida, with a history of lymphatic tuberculosis, infertility due to blocked fallopian tubes and received in vitro fertilization. The patient presented with urine retention and lower abdominal pain in the early second trimester. Uterine incarceration was diagnosed based on pelvic examination and abdominal ultrasound. A Foley catheter was placed and manual reposition was successful. No episode of retention was experienced after the further enlargement of the uterus and its ascent. A healthy infant was delivered vaginally on 38th week of pregnancy.ConclusionsUterine incarceration due to pelvic adhesions is rare and, because of it non-specific clinical presentations, is often misdiagnosed. Abdominal ultrasound is instrumental for the diagnosis because it can directly image the disturbed uterine and pelvic anatomy. There are limited treatment options for uterine incarceration, but definitive diagnosis allows procedures to treat and to reduce severe complications of uterine incarceration.

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Section: Discussionmentioning

confidence: 99%

Incarceration of the gravid uterus: a case report and literature review

Han

Wang

Han

et al. 2019

BMC Pregnancy Childbirth

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“…If that is unsuccessful, atraumatic instruments are used to pull on the round ligaments with concurrent pressure on the fundus from below . One case report from Turkey describes laparoscopic reduction and ventrofixation in which the uterus was stabilized using absorbable sutures . Exploratory laparotomy is only considered in the setting of suspected dense adhesions …”

Section: Evidence‐based Management Optionsmentioning

confidence: 99%

Uterine Incarceration: A Case Study

Lawrence¹,

Morelli²,

Simoni³

et al. 2018

J Midwife Womens Health

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Uterine incarceration is a rare complication of pregnancy in which a retroverted uterus becomes entrapped in the pelvis. This case report describes the clinical presentation and management of a woman with a suspected uterine incarceration in the late first trimester. This article reviews the diagnosis of uterine incarceration, including differential diagnoses, signs and symptoms, and the role of imaging. Management is based on the gestational age at the time of diagnosis. Management options are described along with a discussion of the available evidence.

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