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Incarcerated fibroid uterus: the role of conservative management
Christina Katopodis1, Savas Menticoglou1, Alison Logan1
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg MB.
Background:
Uterine incarceration occurs when the gravid uterus remains trapped within the sacral hollow and cannot ascend out of the pelvis as it enlarges. Predisposing factors include uterine fibroids. Optimal management of uterine incarceration involves manual reduction of the uterus because of the significant maternal and fetal risks associated with persistent incarceration.
Case:
A nulliparous woman with known uterine incarceration secondary to a large anterior uterine fibroid was managed conservatively throughout her pregnancy after attempts at manual reduction were unsuccessful.
Conclusion:
Conservative management of the incarcerated uterus is a reasonable option if attempts at manual reduction are unsuccessful. Magnetic resonance imaging can be helpful in delineating anatomy and planning for delivery.
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