A pregnant woman with an incarcerated uterus may present in the emergency room because of pain, bleeding, inability to void and constipation. Upon diagnosis steps can be taken to manually position the uterus into an anteverted position. The bladder is decompressed by a Foley catheter and the obstetrician may attempt to manipulate the uterus if necessary using general or spinal anesthesia. Rarely will a woman with an incarcerated uterus reach term; if so, a cesarean delivery is called for.
Uterine incarceration
Uterine perforation
Vesicouterine fistula
Uterine inversion
Vaginal trauma
Uterine prolapse
Septic abortion
Uterine rupture