Uterine incarceration: Difference between revisions
From WikiMD's Wellness Encyclopedia
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{{Infobox medical condition | |||
| name = Uterine incarceration | |||
| image = [[File:Incarcerateduterus.JPG|250px]] | |||
| caption = MRI showing an incarcerated uterus | |||
| field = [[Obstetrics]] | |||
| symptoms = [[Pelvic pain]], [[urinary retention]], [[constipation]] | |||
| complications = [[Preterm birth]], [[uterine rupture]], [[fetal demise]] | |||
| onset = Typically during the [[second trimester]] of [[pregnancy]] | |||
| duration = Until resolved, usually by [[manual reduction]] or [[delivery]] | |||
| causes = [[Retroverted uterus]] | |||
| risks = [[Previous pelvic surgery]], [[uterine anomalies]] | |||
| diagnosis = [[Pelvic examination]], [[ultrasound]], [[MRI]] | |||
| differential = [[Pelvic mass]], [[fibroids]], [[ovarian cysts]] | |||
| prevention = Early detection and management of [[retroverted uterus]] | |||
| treatment = [[Manual reduction]], [[surgical intervention]] if necessary | |||
| medication = [[Analgesics]] for pain management | |||
| prognosis = Good with timely intervention | |||
| frequency = Rare | |||
}} | |||
{{Short description|A rare complication of pregnancy}} | {{Short description|A rare complication of pregnancy}} | ||
[[File:Retroverted_uterus_in_pregnancy.png|Retroverted uterus in pregnancy|thumb|left]] | |||
[[File:Retroverted_uterus_in_pregnancy.png|left|thumb|Diagram showing a retroverted uterus during pregnancy.]] | |||
'''Uterine incarceration''' is a rare obstetric complication that occurs when a [[retroverted uterus]] becomes trapped within the [[pelvis]] during [[pregnancy]]. This condition can lead to significant maternal and fetal complications if not diagnosed and managed appropriately. | '''Uterine incarceration''' is a rare obstetric complication that occurs when a [[retroverted uterus]] becomes trapped within the [[pelvis]] during [[pregnancy]]. This condition can lead to significant maternal and fetal complications if not diagnosed and managed appropriately. | ||
==Pathophysiology== | ==Pathophysiology== | ||
In a normal pregnancy, the uterus enlarges and moves out of the pelvis into the [[abdominal cavity]]. However, in some cases, a retroverted uterus, which is tilted backward, may become incarcerated in the pelvis. This can occur when the growing uterus becomes wedged between the [[sacrum]] and the [[pubic symphysis]]. | In a normal pregnancy, the uterus enlarges and moves out of the pelvis into the [[abdominal cavity]]. However, in some cases, a retroverted uterus, which is tilted backward, may become incarcerated in the pelvis. This can occur when the growing uterus becomes wedged between the [[sacrum]] and the [[pubic symphysis]]. | ||
==Symptoms== | ==Symptoms== | ||
Symptoms of uterine incarceration can vary but often include: | Symptoms of uterine incarceration can vary but often include: | ||
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* [[Vaginal bleeding]] | * [[Vaginal bleeding]] | ||
* Abnormal [[fetal position]] | * Abnormal [[fetal position]] | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of uterine incarceration is typically made through a combination of clinical examination and imaging studies. [[Ultrasound]] is commonly used to assess the position of the uterus and the fetus. In some cases, [[magnetic resonance imaging]] (MRI) may be employed for a more detailed evaluation. | Diagnosis of uterine incarceration is typically made through a combination of clinical examination and imaging studies. [[Ultrasound]] is commonly used to assess the position of the uterus and the fetus. In some cases, [[magnetic resonance imaging]] (MRI) may be employed for a more detailed evaluation. | ||
==Management== | ==Management== | ||
Management of uterine incarceration depends on the gestational age and the severity of symptoms. Options include: | Management of uterine incarceration depends on the gestational age and the severity of symptoms. Options include: | ||
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* Use of a [[pessary]] to support the uterus | * Use of a [[pessary]] to support the uterus | ||
* Surgical intervention in severe cases | * Surgical intervention in severe cases | ||
Early diagnosis and intervention are crucial to prevent complications such as [[preterm labor]], [[uterine rupture]], or [[fetal demise]]. | Early diagnosis and intervention are crucial to prevent complications such as [[preterm labor]], [[uterine rupture]], or [[fetal demise]]. | ||
==Prognosis== | ==Prognosis== | ||
With timely and appropriate management, the prognosis for both the mother and the fetus is generally good. However, delayed diagnosis can lead to serious complications. | With timely and appropriate management, the prognosis for both the mother and the fetus is generally good. However, delayed diagnosis can lead to serious complications. | ||
==See also== | |||
== | |||
* [[Retroverted uterus]] | * [[Retroverted uterus]] | ||
* [[Pregnancy complications]] | * [[Pregnancy complications]] | ||
[[Category:Pregnancy complications]] | [[Category:Pregnancy complications]] | ||
Latest revision as of 14:36, 9 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Uterine incarceration | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pelvic pain, urinary retention, constipation |
| Complications | Preterm birth, uterine rupture, fetal demise |
| Onset | Typically during the second trimester of pregnancy |
| Duration | Until resolved, usually by manual reduction or delivery |
| Types | N/A |
| Causes | Retroverted uterus |
| Risks | Previous pelvic surgery, uterine anomalies |
| Diagnosis | Pelvic examination, ultrasound, MRI |
| Differential diagnosis | Pelvic mass, fibroids, ovarian cysts |
| Prevention | Early detection and management of retroverted uterus |
| Treatment | Manual reduction, surgical intervention if necessary |
| Medication | Analgesics for pain management |
| Prognosis | Good with timely intervention |
| Frequency | Rare |
| Deaths | N/A |
A rare complication of pregnancy
Uterine incarceration is a rare obstetric complication that occurs when a retroverted uterus becomes trapped within the pelvis during pregnancy. This condition can lead to significant maternal and fetal complications if not diagnosed and managed appropriately.
Pathophysiology[edit]
In a normal pregnancy, the uterus enlarges and moves out of the pelvis into the abdominal cavity. However, in some cases, a retroverted uterus, which is tilted backward, may become incarcerated in the pelvis. This can occur when the growing uterus becomes wedged between the sacrum and the pubic symphysis.
Symptoms[edit]
Symptoms of uterine incarceration can vary but often include:
- Severe pelvic pain
- Difficulty with urination or urinary retention
- Constipation
- Vaginal bleeding
- Abnormal fetal position
Diagnosis[edit]
Diagnosis of uterine incarceration is typically made through a combination of clinical examination and imaging studies. Ultrasound is commonly used to assess the position of the uterus and the fetus. In some cases, magnetic resonance imaging (MRI) may be employed for a more detailed evaluation.
Management[edit]
Management of uterine incarceration depends on the gestational age and the severity of symptoms. Options include:
- Manual repositioning of the uterus
- Use of a pessary to support the uterus
- Surgical intervention in severe cases
Early diagnosis and intervention are crucial to prevent complications such as preterm labor, uterine rupture, or fetal demise.
Prognosis[edit]
With timely and appropriate management, the prognosis for both the mother and the fetus is generally good. However, delayed diagnosis can lead to serious complications.
