Recurrent incarceration of the retroverted gravid uterus at term - two times transvaginal caesarian section: a case report

IntroductionPersistent retroversion of a gravid uterus (incarceration) in the third trimester is an extremely rare diagnosis and is only scarcely been described. Its prevalence may lead to increased fetal mortality and maternal morbidity.Case presentationWe present a case where a 35-year-old patient had undiagnosed (recurrent) uterine incarceration at term.

Operative delivery proved difficult due to distorted anatomy. Therefore, in our case delivery of the fetus through transvaginal caesarean section was required.

Conclusions: This case report discusses the diagnosis and management of (recurrent) incarceration of the retroverted uterus at term resulting in two successful transvaginal caesarean sections.

In presenting this case, we aim at improving awareness, diagnosis and treatment of the retroverted incarcerated gravid uterus.

Author: Karin van der TuukRobert KrenningGuido KrenningWilma Monincx
Credits/Source: Journal of Medical Case Reports 2009, 3:103

Published on: 2009-11-03

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