2020 Volume 56 Issue 2 Pages 358-362
Incarcerated pregnant uterus is an obstetric condition in which a pregnant uterus grows with the retroversion of the uterus into the pelvic cavity, occasionally even up to the third trimester.
Incarcerated pregnant uterus is extremely rare; however, the termination of an undiagnosed case during pregnancy may lead various complications. Therefore, we need an early diagnose and appropriate management.
Here, we report a case of incarcerated pregnant uterus with a myoma of the uterus fundus. The patient was 37-years-old female（gravida 1, para 0）.
She was referred to our hospital due to a high-risk pregnancy, with a 10cm diameter-myoma. Upon our first examination, we could not detect the portio by a vaginal speculum, but we found a mass at the Douglas pouch. We suspected the abnormal position of the uterus was a result of the myoma; therefore, we planned MRI at 20weeks of gestational age for evaluation. The MRI findings showed an incarcerated pregnant uterus and placenta previa with the myoma at the fundus. Therefore, we selected a caesarean section for delivery and started the preparation for that. After identifying an appropriate position of the uterine incision by ultrasound, we were able to safely do the elective caesarean section at 36 weeks of gestational age.
