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Fibroids in Pregnancy
Published in Botros R.M.B. Rizk, Yakoub Khalaf, Mostafa A. Borahay, Fibroids and Reproduction, 2020
Other complications. A number of other pregnancy complications have been reported in women with fibroids, including disseminated intravascular coagulation, spontaneous hemoperitoneum, uterine incarceration, urinary tract obstruction with urinary retention or acute renal failure, deep vein thrombosis, and puerperal uterine inversion [29].
Oliguria
Published in Lauren A. Plante, Expecting Trouble, 2018
Jhenette Lauder, Anthony Sciscione
An uncommon but significant reason for oliguria/anuria in the first or early second trimester of pregnancy is due to a uterine incarceration. In this entity, a significantly retroverted and/or retroflexed uterus becomes impacted in the pelvis and obstructs the urethra.
Inguinal hernia
Published in Prem Puri, Newborn Surgery, 2017
Thambipillai Sri Paran, Prem Puri
The incidence of incarceration in neonates and young infants is reported to vary between 24% and 40%. 3,53,58The incarceration rate is much higher in premature infants compared with full-term infants. Testicular infarction has been reported in up to 30% of infants younger than 3 months of age with incarcerated inguinal hernia,59 and testicular atrophy following emergency operation for incarceration ranges between 10% and 15%. However, testicular volume in a group of children who had incarcerated inguinal hernia reduced by taxis during infancy and subsequently had elective herniotomy was not significantly different from age-matched controls, suggesting that this risk has been overemphasized.53 Ovarian infarction is also possible after incarceration in females,5 and vaginal bleeding has been reported in an infant after uterine incarceration in the hernial sac.60 The risks of gonadal damage when the slided ovary cannot be reduced justify the fact that most surgeons advise prompt operation in these children.33
Clinical characteristics and pregnancy outcomes of cases with an incarcerated gravid uterus
Published in Journal of Obstetrics and Gynaecology, 2022
Mariko Utsunomiya, Soichiro Obata, Sayaka Suzuki, Etsuko Miyagi, Shigeru Aoki
Our findings indicate that gravid uterine incarceration may be more common than that previously reported. In fact, in this study, 10 cases of an incarcerated gravid uterus were observed among the 20,010 deliveries performed during the study period, and there were no referrals from other hospitals because of the condition. The incidence of an incarcerated gravid uterus in our study was higher than that previously reported (one in 3000–10,000 pregnancies; van Beekhuizen et al. 2003). As the rate of spontaneous reduction could be high, as mentioned above, many women included in the previous studies might have not been correctly diagnosed with an incarcerated gravid uterus before its spontaneous reduction. In this study, we encountered a case that was not diagnosed until the time of delivery, and similar reports have described such an occurrence (Lettieri et al. 1994; Dierickx et al. 2010). In addition, in our hospital, the number of cases diagnosed with an incarcerated gravid uterus increased after the diagnosis of the first case. This implies that the detection rate of gravid uterine incarceration may increase by recognising the clinical characteristics of this condition. Therefore, the prevalence of an incarcerated gravid uterus could be much higher than that previously reported. If clinicians realise that the uterine os cannot be detected in a normal position, as observed in the patients included in our study, performing magnetic resonance imaging to detect the possibility of incarcerated gravid uterus will be useful.
A non-gravid incarcerated uterus following a suction dilation and curettage: a case report
Published in Journal of Obstetrics and Gynaecology, 2022
Marie-Claire Leaf, Melissa Perez, Katherine Coakley
Uterine incarceration is a rare complication that has been described in pregnancy. Its prevalence is estimated at 1 in 3000 to 10,000 pregnancies (Van beekhuizen et al. 2003). It generally occurs between 14 to 16 weeks of pregnancy when the retroflexed uterus enlarges and becomes wedged under the sacral promontory, preventing the uterus from ascending out of the pelvis. Risk factors that have been associated with uterine incarceration in pregnancy include adhesions, leiomyoma, uterine malformation, and deep sacral concavity (Lettieri et al. 1994; Jacobsson and Wide-swensson 1999). Treatments for uterine incarceration in pregnancy include both conservative and surgical management by passive reduction with knee-chest position or manual reduction, and sigmoidoscopy or laparotomy respectively (Dierickx et al. 2011).
Recurrent incarceration of the severely retroverted uterus with successful second-trimester reduction
Published in Journal of Obstetrics and Gynaecology, 2019
Alexandra Lackey, Prajwal Dara, Christine Burkhardt
Uterine incarceration occurs when the gravid uterus becomes lodged between the symphysis pubis and the sacral promontory. As the products of conception expand, the bladder and urethra become compressed by a misaligned cervix, leading to the common presentation of urinary retention at 14–16 weeks of gestation. The causes of incarceration include pelvic adhesions from previous surgeries, fibroids, and an unusually concave sacral anatomy (Shnaekel et al. 2016).