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Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients.

Slama R, Barry M, McManus K, Latham D, Berniard M - West J Emerg Med (2015)

Bottom Line: We present a case series where three multiparous females presented to the ED with non-specific urinary symptoms.On bedside ultrasound, each patient was noted to have a retroverted uterus and inferior bladder entrapment under the sacral promontory.GUI is a rare condition that can lead to uremia, sepsis, peritonitis, and ultimately maternal death.

View Article: PubMed Central - PubMed

Affiliation: Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.

ABSTRACT
Gravid uterine incarceration (GUI) is a condition that is well discussed in literature; however, there are few acute diagnoses in the emergency department (ED). We present a case series where three multiparous females presented to the ED with non-specific urinary symptoms. On bedside ultrasound, each patient was noted to have a retroverted uterus and inferior bladder entrapment under the sacral promontory. GUI is a rare condition that can lead to uremia, sepsis, peritonitis, and ultimately maternal death. Emergency physicians should include GUI in their differential diagnosis in this patient population and use bedside ultrasound as an adjunct to diagnosis.

No MeSH data available.


Related in: MedlinePlus

Inferior bladder, containing significant volume of urine, entrapped by gravid uterus.
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f1-wjem-16-790: Inferior bladder, containing significant volume of urine, entrapped by gravid uterus.

Mentions: Patient #1 had been seen recently by OBGYN where she underwent evaluation for dysuria/urinary tract infection that was negative. Because of her unremitting symptoms and despite reassurance, she came to the ED for evaluation. Initial laboratory evaluation of the patient revealed only bacterial vaginosis. A bedside ultrasound assessment was performed that showed normal-appearing kidneys, and was negative for free abdominal fluid or pericardial effusion. The inferior bladder pole was entrapped by the gravid uterus, and contained a significant volume of urine (Figure).


Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients.

Slama R, Barry M, McManus K, Latham D, Berniard M - West J Emerg Med (2015)

Inferior bladder, containing significant volume of urine, entrapped by gravid uterus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644058&req=5

f1-wjem-16-790: Inferior bladder, containing significant volume of urine, entrapped by gravid uterus.
Mentions: Patient #1 had been seen recently by OBGYN where she underwent evaluation for dysuria/urinary tract infection that was negative. Because of her unremitting symptoms and despite reassurance, she came to the ED for evaluation. Initial laboratory evaluation of the patient revealed only bacterial vaginosis. A bedside ultrasound assessment was performed that showed normal-appearing kidneys, and was negative for free abdominal fluid or pericardial effusion. The inferior bladder pole was entrapped by the gravid uterus, and contained a significant volume of urine (Figure).

Bottom Line: We present a case series where three multiparous females presented to the ED with non-specific urinary symptoms.On bedside ultrasound, each patient was noted to have a retroverted uterus and inferior bladder entrapment under the sacral promontory.GUI is a rare condition that can lead to uremia, sepsis, peritonitis, and ultimately maternal death.

View Article: PubMed Central - PubMed

Affiliation: Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.

ABSTRACT
Gravid uterine incarceration (GUI) is a condition that is well discussed in literature; however, there are few acute diagnoses in the emergency department (ED). We present a case series where three multiparous females presented to the ED with non-specific urinary symptoms. On bedside ultrasound, each patient was noted to have a retroverted uterus and inferior bladder entrapment under the sacral promontory. GUI is a rare condition that can lead to uremia, sepsis, peritonitis, and ultimately maternal death. Emergency physicians should include GUI in their differential diagnosis in this patient population and use bedside ultrasound as an adjunct to diagnosis.

No MeSH data available.


Related in: MedlinePlus