Incarceration of early gravid uterus with adenomyosis and myoma: report of two patients managed with uterine reduction
Obstetrics & Gynecology Science
;
: 621-625, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-716659
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pesarios
/
Segundo Trimestre del Embarazo
/
Sensación
/
Enfermedades Uterinas
/
Útero
/
Vejiga Urinaria
/
Retención Urinaria
/
Dolor de Espalda
/
Dolor Pélvico
/
Disuria
Tipo de estudio:
Guía de Práctica Clínica
Límite:
Adulto
/
Femenino
/
Humanos
/
Lactante
/
Embarazo
Idioma:
Inglés
Revista:
Obstetrics & Gynecology Science
Año:
2018
Tipo del documento:
Artículo
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