Incarceration of the Gravid Uterus with Myoma: Report of One Patient Managed with Uterine Reduction.

Jang, Tae Gee; Ko, Min Hwan; Lee, Tae Hyun; Lee, Eun Jee; Won, Suk Yong

Original Article

Korean Journal of Obstetrics & Gynecology 2000;43(11):2059-2061.
Published online January 1, 2001.

Incarceration of the Gravid Uterus with Myoma: Report of One Patient Managed with Uterine Reduction.

Tae Gee Jang, Min Hwan Ko, Tae Hyun Lee, Eun Jee Lee, Suk Yong Won

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.

Key Words: Incarceration of retroverted gravid uterus, Uterine myoma