Incarceration of the retroverted gravid uterus: the key to successful treatment

Inaba F, Fujiyuki Inaba, Takeshi Kawatu, Kawatu T, Kaoru Masaoka, Masaoka K, Ichio Fukasawa, Fukasawa I, Hiroshi Watanabe, Watanabe H, Noriyuki Inaba, Inaba N
Archives of gynecology and obstetrics · 2004 · vol. 273(1) , pp. 55–57 · doi:10.1007/s00404-004-0681-3 · PMID:15551143 · W2128737326
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This paper describes two cases of retroverted gravid uterus incarceration, presenting with urinary retention, and discusses cesarean section as a treatment, noting endometriosis evaluation is important.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports two case studies of incarceration of a retroverted gravid uterus, a rare condition that is difficult to diagnose and therefore challenging to treat. The authors describe two pregnant women who presented with urinary retention at 14 weeks’ gestation; attempted uterine repositioning (pushing the gravid uterus upward) was unsuccessful overall, and both ultimately underwent cesarean section, though one case was relieved by uterine reduction. The authors conclude that evaluating for endometriosis is important in such pregnancies, noting that there was no sign of endometriosis in these cases. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

IntroductionIncarceration of the retroverted gravid uterus is rare, and it is difficult to make a diagnosis, and, therefore, difficult to treat. We present two cases of incarceration of the retroverted gravid uterus.Case reportTwo pregnant women presented with urinary retention at 14 weeks' gestation. We tried to push the gravid uterus upward, but in the end the two women underwent cesarean section. In one of the women it was possible to relieve incarceration of the retroverted gravid uterus.ConclusionThere was no sign of endometriosis in these pregnancies, which is important to evaluate when pregnant women have a complication.
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Abstract

Introduction Incarceration of the retroverted gravid uterus is rare, and it is difficult to make a diagnosis, and, therefore, difficult to treat. We present two cases of incarceration of the retroverted gravid uterus. Case report Two pregnant women presented with urinary retention at 14 weeks’ gestation. We tried to push the gravid uterus upward, but in the end the two women underwent cesarean section. In one of the women it was possible to relieve incarceration of the retroverted gravid uterus.

Conclusion

There was no sign of endometriosis in these pregnancies, which is important to evaluate when pregnant women have a complication. Similar content being viewed by others

References

Fadel HE, Misenhimer HR (1974) Incarceration of the retroverted gravid uterus with sacculation. Obstet Gynecol 43:46–49 Hanaoka J, Tokunaga A, Takeuchi Y, Yanase T, Arakawa M, Takayanagi T (1995) Incarceration of the retroverted gravid uterus with uterine myoma—a case report. Nippon Sanka Fujinka Gakkai Zasshi 47:287–289 Hess LW, Nolan TE, Martin RW, Martin JN Jr, Wiser WL, Morrison JC (1989) Incarceration of the retroverted gravid uterus: report of four patients managed with uterine reduction. South Med J 82:310–312 Littieri L, Rodis JF, McLean DA, Campbell WA, Vintzileos AM (1994) Incarceration of the gravid uterus. Obstet Gynecol Surv 49:642–646 Love JN, Howell JM (2000) Urinary retention resulting from incarceration of a retroverted, gravid uterus. J Emerg Med 19:351–354 Schwartz Z, Dgani R, Katz Z, Lancet M (1986) Urinary retention caused by impaction of leiomyoma in pregnancy. Acta Obstet Gynecol Scand 65:525–526 Weekes A, Atlay R, Brown V, Jordan E, Murray S (1976) The retroverted gravid uterus and its effect on the outcome of pregnancy. Br Med J 1:622–624 Wood PA (1967) Posterior sacculation of the uterus in patient with a double uterus. Am J Obstet Gynecol 99:907–908 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Inaba, F., Kawatu, T., Masaoka, K. et al. Incarceration of the retroverted gravid uterus: the key to successful treatment. Arch Gynecol Obstet 273, 55–57 (2005). https://doi.org/10.1007/s00404-004-0681-3 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-004-0681-3

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MeSH descriptors

Pregnancy Complications Uterine Diseases Uterus Adult Cervix Uteri Cervix Uteri Cesarean Section Embryo Transfer Female Fertilization in Vitro Gestational Age Humans Hysterectomy Magnetic Resonance Imaging Pregnancy Pregnancy Complications Ultrasonography Urinary Retention Urinary Retention Uterine Diseases

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