Ultrasonography in Diagnosing Incarcerated Gravid Uterus
10.3969/j.issn.1005-5185.2025.08.012
- VernacularTitle:超声诊断妊娠期子宫嵌顿的价值
- Author:
Tao YUAN
1
;
Yan BAI
;
Rong LIANG
;
Yuying TANG
;
Wenming JIANG
Author Information
1. 四川省妇幼保健院超声医学科,四川 成都 610000
- Publication Type:Journal Article
- Keywords:
Pregnancy;
Ultrasonography,Doppler,color;
Magnetic resonance imaging;
Placenta accreta;
Pregnancy outcome;
Urinary retention;
Uterus;
Cervix uteri;
Cesarean section;
Prenatal diagnosis;
Missed diagnosis
- From:
Chinese Journal of Medical Imaging
2025;33(8):867-871
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To analyze the sonographic features of incarcerated gravid uterus and evaluate the diagnostic value of ultrasonography.Materials and Methods Clinical data of eight patients diagnosed with incarcerated gravid uterus at Sichuan Provincial Maternity and Child Health Care Hospital from January 2018 to December 2023 were retrospectively analyzed.Clinical manifestations,sonographic characteristics,management approaches and pregnancy outcomes were evaluated.Results Among the eight confirmed cases,seven presented with initial symptoms of dysuria and urinary retention,while one reported irregular lower abdominal pain.Ultrasonography consistently demonstrated:retroverted and retroflexed uterine position with the uterine body posterior to the cervix.Elongated cervix(range:4.0-8.6 cm)displaced anteriorly.Overdistended,elongated and superiorly displaced bladder in seven cases.Management included successful manual reduction via knee-chest position after catheterization in seven patients.One patient was managed conservatively with close monitoring and delivered by cesarean section at term.All eight patients achieved successful term deliveries with favorable maternal and neonatal outcomes.Conclusion Prenatal ultrasonography plays a crucial role in diagnosing and managing incarcerated gravid uterus.Early recognition of characteristic sonographic features facilitates prompt diagnosis and intervention,thereby mitigating risks of adverse pregnancy outcomes.
