Asymptomatic uterine incarceration at term: Successful management of a rare complication in pregnancy

Objective: Incarcerated gravid uterus is a rare complication of pregnancy and can become a critical condition during delivery. For extremely uncommon cases that persist to the third trimester, correct diagnosis before delivery and appropriate management of the associated complications are important....

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Main Authors: Po-Chao Hsu (Author), Mu-Hsien Yu (Author), Chen-Yu Wang (Author), Yu-Kuen Wang (Author), Chun-Kai Wang (Author), Her-Young Su (Author)
Format: Book
Published: Elsevier, 2018-10-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Po-Chao Hsu  |e author 
700 1 0 |a Mu-Hsien Yu  |e author 
700 1 0 |a Chen-Yu Wang  |e author 
700 1 0 |a Yu-Kuen Wang  |e author 
700 1 0 |a Chun-Kai Wang  |e author 
700 1 0 |a Her-Young Su  |e author 
245 0 0 |a Asymptomatic uterine incarceration at term: Successful management of a rare complication in pregnancy 
260 |b Elsevier,   |c 2018-10-01T00:00:00Z. 
500 |a 1028-4559 
500 |a 10.1016/j.tjog.2018.08.025 
520 |a Objective: Incarcerated gravid uterus is a rare complication of pregnancy and can become a critical condition during delivery. For extremely uncommon cases that persist to the third trimester, correct diagnosis before delivery and appropriate management of the associated complications are important. Case report: This was the first case of a full-term pregnancy with incarcerated gravid uterus, reported at a medical center. The condition was not diagnosed during pregnancy, which led to serious complications during the cesarean delivery; however, the prognosis was favorable because of the timely management. Conclusion: Based on the previous case reports and clinical presentation of this case, early diagnosis with ultrasound and pelvic examination is the key to successful treatment. Vertical and more cephalad uterine incision reduces the risk of bladder perforation and injury to the cervix and vagina. A successful teamwork of obstetricians, gynecologists, urologists, and anesthesiologists can ensure favorable outcomes for both mother and fetus. Keywords: Cesarean delivery, Incarcerated gravid uterus, Third trimester 
546 |a EN 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Taiwanese Journal of Obstetrics & Gynecology, Vol 57, Iss 5, Pp 745-749 (2018) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S102845591830192X 
787 0 |n https://doaj.org/toc/1028-4559 
856 4 1 |u https://doaj.org/article/c902e24b5a2d4a52befdcb3427f727a4  |z Connect to this object online.