Incarceration of the Gravid Uterus with Myoma: Report of One Patient Managed with Uterine Reduction.
- Author:
Tae Gee JANG
;
Min Hwan KO
;
Tae Hyun LEE
;
Eun Jee LEE
;
Suk Yong WON
- Publication Type:Original Article
- Keywords:
Incarceration of retroverted gravid uterus;
Uterine myoma
- MeSH:
Abdominal Wall;
Adult;
Dysuria;
Female;
Humans;
Infant;
Leiomyoma;
Lip;
Myoma*;
Pregnancy;
Sensation;
Traction;
Ultrasonography;
Urinary Bladder;
Urinary Retention;
Uterine Retroversion;
Uterus*
- From:Korean Journal of Obstetrics and Gynecology
2000;43(11):2059-2061
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Incarceration of the gravid uterus is a rare but serious complication of pregnancy. Reported is the case of a gravid 2, para 0, abortus 1 with known uterine subserosal myoma(5.3 x5.5cm sized) 26-year-old woman presented with acute dysuria and urinary retention. The patient was 14 weeks and 3 days pregnant and presented several week history of urinary frequency and sensation of incomplete bladder emptying. Examination revealed a retroflexed uterus with cervical opening pointing toward the anterior abdominal wall. An ultrasound revealed a thin, elongated maternal bladder and a uterus incarcerated between the sacral promontary and the pubis. The incarceration was successfully reduced by tenaculum traction of the cervical posterior lip without surgical intervention and had a normal infant of appropriate weight at term.
