Incarcerated Uterus Presenting as Short Cervix and Placenta Previa

Introduction. Incarcerated uterus is a rare complication of pregnancy, usually associated with retroversion. Case. A 26-year-old woman presents at 19 4/7 weeks for evaluation of a short cervix and placenta previa. On ultrasound scan, the placenta was considered previa and the cervix was not visualiz...

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Main Authors: Ali Alhousseini, Salam Zeineddine, Adham Alsamsam, Bernard Gonik, Jacques Abramowicz, Karoline Puder, Homam Saker, Edgar Hernandez-Andrade
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2018/7373507
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author Ali Alhousseini
Salam Zeineddine
Adham Alsamsam
Bernard Gonik
Jacques Abramowicz
Karoline Puder
Homam Saker
Edgar Hernandez-Andrade
author_facet Ali Alhousseini
Salam Zeineddine
Adham Alsamsam
Bernard Gonik
Jacques Abramowicz
Karoline Puder
Homam Saker
Edgar Hernandez-Andrade
author_sort Ali Alhousseini
collection DOAJ
description Introduction. Incarcerated uterus is a rare complication of pregnancy, usually associated with retroversion. Case. A 26-year-old woman presents at 19 4/7 weeks for evaluation of a short cervix and placenta previa. On ultrasound scan, the placenta was considered previa and the cervix was not visualized. The cervix was not identified by pelvic examination and the presumptive diagnosis of short cervix was done. The patient was followed up closely and remained asymptomatic. Retrospective analysis of the ultrasound images showed a retroverted uterus with an elongated cervix compressed towards the anterior vaginal wall. At 26 weeks of gestation, ultrasound showed a cervical length of 41 mm and a fundal placenta and the diagnosis of spontaneous correction of an incarcerated uterus was made. The patient had an uncomplicated vaginal delivery at 39 3/7 weeks. Comment. Identification and close follow-up of incarcerated uterus may potentially help in avoiding serious obstetrical and surgical complications.
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-e1cbb3faa98d4b1b81dd0f1299428b8b2025-02-03T01:11:17ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/73735077373507Incarcerated Uterus Presenting as Short Cervix and Placenta PreviaAli Alhousseini0Salam Zeineddine1Adham Alsamsam2Bernard Gonik3Jacques Abramowicz4Karoline Puder5Homam Saker6Edgar Hernandez-Andrade7Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Internal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois, USADepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Wayne State University, Detroit, Michigan, USAIntroduction. Incarcerated uterus is a rare complication of pregnancy, usually associated with retroversion. Case. A 26-year-old woman presents at 19 4/7 weeks for evaluation of a short cervix and placenta previa. On ultrasound scan, the placenta was considered previa and the cervix was not visualized. The cervix was not identified by pelvic examination and the presumptive diagnosis of short cervix was done. The patient was followed up closely and remained asymptomatic. Retrospective analysis of the ultrasound images showed a retroverted uterus with an elongated cervix compressed towards the anterior vaginal wall. At 26 weeks of gestation, ultrasound showed a cervical length of 41 mm and a fundal placenta and the diagnosis of spontaneous correction of an incarcerated uterus was made. The patient had an uncomplicated vaginal delivery at 39 3/7 weeks. Comment. Identification and close follow-up of incarcerated uterus may potentially help in avoiding serious obstetrical and surgical complications.http://dx.doi.org/10.1155/2018/7373507
spellingShingle Ali Alhousseini
Salam Zeineddine
Adham Alsamsam
Bernard Gonik
Jacques Abramowicz
Karoline Puder
Homam Saker
Edgar Hernandez-Andrade
Incarcerated Uterus Presenting as Short Cervix and Placenta Previa
Case Reports in Obstetrics and Gynecology
title Incarcerated Uterus Presenting as Short Cervix and Placenta Previa
title_full Incarcerated Uterus Presenting as Short Cervix and Placenta Previa
title_fullStr Incarcerated Uterus Presenting as Short Cervix and Placenta Previa
title_full_unstemmed Incarcerated Uterus Presenting as Short Cervix and Placenta Previa
title_short Incarcerated Uterus Presenting as Short Cervix and Placenta Previa
title_sort incarcerated uterus presenting as short cervix and placenta previa
url http://dx.doi.org/10.1155/2018/7373507
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AT jacquesabramowicz incarcerateduteruspresentingasshortcervixandplacentaprevia
AT karolinepuder incarcerateduteruspresentingasshortcervixandplacentaprevia
AT homamsaker incarcerateduteruspresentingasshortcervixandplacentaprevia
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