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Mayr Le Ngo1,2,3, Hanne Brix Westergaard3, Christentze Schmiegelow3,4

  • 1Gynækologisk og Obstetrisk Afdeling, Københavns Universitetshospital - Slagelse Hospital.

Ugeskrift for Laeger
|November 12, 2024
PubMed
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An incarcerated retroverted uterus, a rare pregnancy complication, can be successfully managed conservatively. This case report highlights a conservative approach using the yoga pose "Downward-facing dog" and catheterization for uterine mobilization.

Area of Science:

  • Obstetrics
  • Gynecology
  • Reproductive Medicine

Background:

  • Incarceration of a retroverted uterus is a rare but serious obstetric complication.
  • It can lead to significant maternal morbidity and fetal mortality if not promptly addressed.

Observation:

  • A pregnant patient at 16 weeks gestation presented with acute urine retention.
  • Clinical assessment revealed an incarcerated retroverted uterus as the cause.

Findings:

  • A conservative management strategy was employed, involving the yoga position "Downward-facing dog" to aid uterine mobilization.
  • A permanent urinary catheter was inserted for 48 hours, leading to successful uterine repositioning.

Implications:

  • This case highlights the potential efficacy of conservative, non-invasive treatments for incarcerated retroverted uterus.

Related Experiment Videos

  • Early diagnosis and prompt conservative management can prevent severe maternal and fetal complications.
  • Promoting awareness of this condition and its conservative treatment options is crucial for obstetric care providers.