Eskander Mark E, Guraya Sahejmeet S, Afshari Mirak Sohrab, Mohamed Inas
Department of Radiology, Lake Erie College of Osteopathic Medicine, Erie, USA.
Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, USA.
Cureus. 2023 Sep 12;15(9):e45117. doi: 10.7759/cureus.45117. eCollection 2023 Sep.
Incarcerated gravid uterus (IGU) is a rare condition that occurs when a retropositioned gravid uterus becomes entrapped within the pelvic cavity. Most patients present around the 17th week of pregnancy with symptoms such as pelvic fullness, urinary incontinence, abdominal pain, constipation, and vaginal bleeding. Rarely, patients are asymptomatic throughout pregnancy, leaving IGU undiagnosed and untreated. Here, we present an asymptomatic 26-year-old female who presented at 30 weeks of gestation with severe intrauterine growth retardation (IUGR) on serial obstetric ultrasounds. Further evaluation with ultrasound and MRI revealed an incarcerated uterus. This was complicated by severe fetal IUGR, abnormal biophysical profile, and oligohydramnios. This case highlights the importance of early diagnosis and treatment of IGU in order to prevent complications associated with the condition. Clinicians should be aware that, although uncommon, patients with IGU may be asymptomatic and that diagnosis should depend primarily on imaging findings rather than symptoms.
嵌顿妊娠子宫（IGU）是一种罕见的情况，当后位妊娠子宫被困于盆腔内时发生。大多数患者在妊娠第17周左右出现症状，如盆腔坠胀、尿失禁、腹痛、便秘和阴道出血。极少数情况下，患者在整个孕期均无症状，导致IGU未被诊断和治疗。在此，我们报告一名26岁无症状女性，在妊娠30周时经系列产科超声检查发现严重胎儿宫内生长受限（IUGR）。超声和磁共振成像（MRI）进一步评估显示子宫嵌顿。这并发了严重胎儿IUGR、生物物理评分异常和羊水过少。该病例强调了早期诊断和治疗IGU以预防与该病症相关并发症的重要性。临床医生应意识到，尽管不常见，但IGU患者可能无症状，诊断应主要依赖影像学检查结果而非症状。
