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Treatment of a Late Second-Trimester Incarcerated Uterus Using Ultrasound-Guided Manual Reduction

Grossenburg, Nicole J. MD; Delaney, Abigail A. MD; Berg, Teresa G. MD

doi: 10.1097/AOG.0b013e3182164864
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BACKGROUND: Incarcerated gravid uterus diagnosed after 20 weeks of gestation is extremely rare and carries significant morbidity to the fetus and mother.

CASE: A 33-year-old woman presented at 21 weeks of gestation with urinary retention. Ultrasonography was performed and a diagnosis of an incarcerated gravid uterus was confirmed using magnetic resonance imaging. Under general anesthesia with ultrasonographic guidance, the incarcerated uterus was successfully released. The patient delivered at 33 weeks by spontaneous vaginal delivery.

CONCLUSION: Use of ultrasonography for guidance along with general anesthesia during manual reduction may aid the release of a late second-trimester incarcerated uterus.

Using ultrasonography along with general anesthesia during manual reduction may aid the release of a late second-trimester incarcerated uterus.

From the Scott & White Hospital and Clinic, Department of Obstetrics and Gynecology, Temple, Texas; and the Department of Obstetrics and Gynecology, University of Nebraska Medical Center, Omaha, Nebraska.

Corresponding author: Nicole J. Grossenburg, MD, Department of Obstetrics and Gynecology, 2401 S 31st Street, Temple, TX 76508; e-mail: ngrossenburg@swmail.sw.org.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 The American College of Obstetricians and Gynecologists