Successful Reposition of an Incarcerated Gravid Uterus by Instrument: A Case Report and Literature Review

Abstract

Incarcerated gravid uterus is a rare obstetric condition that contributes to pregnancy-related adverse outcomes, especially if the uterus remains incarcerated and the condition goes undiagnosed until delivery. An effective diagnosis of this condition is benefited from pelvic examination combined with imaging methods and based on suspected symptoms. We present a case of ultrasound-assisted instrument reposition of an incarcerated gravid uterus at mid-gestation and discuss its clinical characteristics, diagnosis, imaging features, and treatment. We believe that once manual reduction fails, the use of instruments will undoubtedly be a better choice.