December 17th, 2018

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Expectant Management of Uterine Incarceration from an Anterior Uterine Myoma: A Case Report
Authors:  Carl H. Rose, M.D., Brian C. Brost, M.D., William J. Watson, M.D., Norman P. Davies, M.D., and John M. Knudsen, M.D.
BACKGROUND: Uterine incarceration is an infrequent complication of pregnancy in the early second trimester. Although imaging can be confirmatory, the diagnosis is made primarily on clinical grounds, and definitive treatment involves manual reduction to restore the proper anatomic position. Except for preexisting uterine retroversion, often this event is idiopathic.

CASE: A 30-year-old primigravida presented at 15 weeks‘ gestation with uterine incarceration. Manual replacement was unsuccessful. Spontaneous resolution occurred at 20 weeks, followed by uneventful pregnancy. The patient underwent a classical cesarean section at term due to fetal malpresentation.

CONCLUSION: Uterine incarceration may be managed conservatively, with a favorable outcome. (J Reprod Med 2008;53:65-66)
Keywords:  myoma; pregnancy complications, neoplastic; uterine incarceration; uterus
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