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Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Incarcerated Gravid Uterus: Spontaneous Resolution Is Not Rare.

Daisuke Tachibana1, Takuya Misugi1, Kohei Kitada1

  • 1Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka 545-8585, Japan.

Diagnostics (Basel, Switzerland)
|September 28, 2021
PubMed
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Incarcerated gravid uterus occurs in about 1 in 2300 pregnancies. Most cases resolve spontaneously, suggesting expectant management may be suitable for asymptomatic incarcerated gravid uterus.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Incarcerated gravid uterus is a rare obstetric complication with potential adverse outcomes.
  • Optimal management strategies remain unclear due to the condition's rarity.

Purpose of the Study:

  • To determine the incidence of incarcerated gravid uterus.
  • To investigate the natural course and perinatal outcomes of this condition.

Main Methods:

  • Retrospective review of medical records from April 2011 to March 2021.
  • Incarcerated gravid uterus defined as a retroverted/retroflexed uterus after 16 weeks gestation.

Main Results:

  • 14 cases of incarcerated gravid uterus identified among 6958 pregnancies (incidence ~1 in 500).
Keywords:
diagnosisincarcerated gravid uterusmanagementmanual reductionspontaneous resolution

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  • Spontaneous resolution occurred in 78.5% of cases after 16 weeks gestation.
  • Three cases remained incarcerated at term; one misdiagnosed, leading to complications.

    • Conclusions:

    • Approximately 1 in 2300 pregnancies present with incarcerated gravid uterus at term.
    • Expectant management with careful monitoring is a viable option for asymptomatic cases.