Related Experiment Video
Updated: Aug 13, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Spontaneous Reduction of an Incarcerated Gravid Uterus With a Giant Uterine Fibroid in Late Pregnancy: A Case Report
Taishin Kido1,2, Ken Takahashi1, Miyu Yoshida1
1Center for Maternal-Fetal, Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.
Incarceration of the gravid uterus is a rare obstetric complication causing serious maternal and fetal morbidity. This report describes the case of a 43-year-old gravida 3, para 0 woman with a giant uterine fibroid who was diagnosed with an incarcerated gravid uterus at 24 gestational weeks based on transvaginal ultrasonography and magnetic resonance imaging (MRI). The largest fibroid measured 15 cm in maximum diameter and was thought to limit uterine mobility; therefore, conservative management with a planned cesarean delivery was selected. Repeat MRI at 34 weeks unexpectedly demonstrated spontaneous reduction of the incarcerated uterus, with the cervix restored to its normal caudal position. Hence, delivery planning and surgical strategy were revised based on updated anatomical findings. Emergency cesarean delivery was successfully performed at 36 weeks, without recurrence of uterine incarceration. Continuous anatomical reassessment throughout pregnancy, including the third trimester, is essential for optimizing peripartum management and avoiding preventable complications.
Incarceration of the gravid uterus is a rare obstetric complication causing serious maternal and fetal morbidity. This report describes the case of a 43-year-old gravida 3, para 0 woman with a giant uterine fibroid who was diagnosed with an incarcerated gravid uterus at 24 gestational weeks based on transvaginal ultrasonography and magnetic resonance imaging (MRI). The largest fibroid measured 15 cm in maximum diameter and was thought to limit uterine mobility; therefore, conservative management with a planned cesarean delivery was selected. Repeat MRI at 34 weeks unexpectedly demonstrated spontaneous reduction of the incarcerated uterus, with the cervix restored to its normal caudal position. Hence, delivery planning and surgical strategy were revised based on updated anatomical findings. Emergency cesarean delivery was successfully performed at 36 weeks, without recurrence of uterine incarceration. Continuous anatomical reassessment throughout pregnancy, including the third trimester, is essential for optimizing peripartum management and avoiding preventable complications.
