Recurrent incarceration and/or sacculation of the gravid uterus: A review

Abstract

Retroverted uterine incarceration with sacculation of the anterior wall is reported to occur approximately in 1/3000 pregnancies. A literature search identified only one case report of incarceration of an anteflexed gravid uterus and six reported cases of recurrent incarceration and/or sacculation. We present a case of an incarceration of an anteflexed uterus in the first pregnancy, followed by a retroflexed incarceration in the second pregnancy. From this, a review is presented on recurrent uterine incarceration and/or sacculation.

Keywords:

• Uterine incarceration
• uterine sacculation
• retroverted uterus
• prematurity
• uterine manipulation

Acknowledgements

The authors would like to thank Dr. Mieke Lauwers and Dr. Joke Bulthé for their valuable assistance in the preparation of this paper. We also like to thank Elize Beckers of the Department Press and Communication and Jean-Marie Habraken of the Department Medical Imaging in Ziekenhuis Oost Limburg for their kind help with the preparation of the figures.