TITLE:
Antenatal Diagnosis of Uterine Incarceration: Surgical Role of MRI and Intraoperative Transmyometrium Ultrasound
AUTHORS:
Masahito Mizuuchi, Sakura Takada, Masahiro Suzuki, Shin-ichi Ishioka, Toshiaki Endo, Tsuyoshi Saito
KEYWORDS:
Uterine Incarceration, Antenatal Diagnosis, Magnetic Resonance Imaging, Transmyometrium Ultrasonography
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.16,
December
23,
2014
ABSTRACT: Uterine incarceration is a rare condition thought to result from
incarceration of a retroverted uterus in the small pelvis. The present case
report describes a case of uterine incarceration caused by extensive pelvic
adhesions after appendectomy for perforated appendicitis. A 39-year-old
primigravida woman was referred to our obstetric unit for follow-up after
successful in vitro fertilization.
The symptoms related to uterine incarceration included anuria at 15 weeks of
gestation and uterine contractions starting at 28 weeks of gestation. The
absence of a cervical canal on ultrasonography is a key finding required to
diagnose this rare condition. In the present case, the incision for uterotomy
was determined by prenatal magnetic resonance imaging and transmyometrium
ultrasonography during cesarean section. Both MRI and ultrasound images clearly
showed anatomical relationships between the bladder, cervical canal and uterine
wall. Clinicians need to know how the incision for uterotomy should be made and
to avoid serious complications during cesarean section.