Incarceration of early gravid uterus with adenomyosis and myoma: report of two patients managed with uterine reduction
Obstetrics & Gynecology Science
;
: 621-625, 2018.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pessaires
/
Deuxième trimestre de grossesse
/
Sensation
/
Maladies de l'utérus
/
Utérus
/
Vessie urinaire
/
Rétention d'urine
/
Dorsalgie
/
Douleur pelvienne
/
Dysurie
Type d'étude:
Guide de pratique
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Bébé
/
Grossesse
langue:
Anglais
Texte intégral:
Obstetrics & Gynecology Science
Année:
2018
Type:
Article
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