Incarceration of early gravid uterus with adenomyosis and myoma: report of two patients managed with uterine reduction
Obstetrics & Gynecology Science
; : 621-625, 2018.
Article
in En
| WPRIM
| ID: wpr-716659
Responsible library:
WPRO
ABSTRACT
Although gravid uterine incarceration is typically diagnosed during the early second trimester, we encountered two unusual cases in early pregnancy. A 34-year-old multiparous woman with adenomyosis presented at 7 + 2 weeks of gestation with increased urinary frequency and a sensation of incomplete bladder emptying. The uterine incarceration was successfully reduced by manual reduction and pessary insertion, and she delivered a normal infant at term. In the second case, a 31-year-old nulliparous woman with a large myoma complained of dysuria, acute urinary retention, and intense back pain at 6 weeks of gestation. Manual reduction was successful in the knee-chest position. Subsequent pessary insertion failed; however, a slight reduction in pain was achieved. After a week, the fetus spontaneously aborted. In summary, gravid uterine incarceration is a rare but potentially fatal condition for the fetus, and a suspicion of this condition in patients with urinary symptoms, especially urinary retention and pelvic pain, is important in the early gestation period.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pessaries
/
Pregnancy Trimester, Second
/
Sensation
/
Uterine Diseases
/
Uterus
/
Urinary Bladder
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Urinary Retention
/
Back Pain
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Pelvic Pain
/
Dysuria
Type of study:
Guideline
Limits:
Adult
/
Female
/
Humans
/
Infant
/
Pregnancy
Language:
En
Journal:
Obstetrics & Gynecology Science
Year:
2018
Type:
Article