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Asymptomatic uterine incarceration at term: Successful management of a rare complication in pregnancy.
- Source :
-
Taiwanese journal of obstetrics & gynecology [Taiwan J Obstet Gynecol] 2018 Oct; Vol. 57 (5), pp. 745-749. - Publication Year :
- 2018
-
Abstract
- Objective: Incarcerated gravid uterus is a rare complication of pregnancy and can become a critical condition during delivery. For extremely uncommon cases that persist to the third trimester, correct diagnosis before delivery and appropriate management of the associated complications are important.<br />Case Report: This was the first case of a full-term pregnancy with incarcerated gravid uterus, reported at a medical center. The condition was not diagnosed during pregnancy, which led to serious complications during the cesarean delivery; however, the prognosis was favorable because of the timely management.<br />Conclusion: Based on the previous case reports and clinical presentation of this case, early diagnosis with ultrasound and pelvic examination is the key to successful treatment. Vertical and more cephalad uterine incision reduces the risk of bladder perforation and injury to the cervix and vagina. A successful teamwork of obstetricians, gynecologists, urologists, and anesthesiologists can ensure favorable outcomes for both mother and fetus.<br /> (Copyright © 2018. Published by Elsevier B.V.)
- Subjects :
- Adult
Cervix Uteri injuries
Cesarean Section adverse effects
Diagnosis, Differential
Female
Gestational Age
Humans
Placenta Previa
Pregnancy
Ultrasonography, Prenatal
Urinary Bladder injuries
Vagina injuries
Pregnancy Complications diagnosis
Pregnancy Complications surgery
Uterine Retroversion complications
Uterine Retroversion surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1875-6263
- Volume :
- 57
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Taiwanese journal of obstetrics & gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 30342664
- Full Text :
- https://doi.org/10.1016/j.tjog.2018.08.025