Stranded under the Prom: impacted gravid uterus presenting as acute urinary retention

Acute urinary retention in pregnancy secondary to an impacted uterus is a rare occurrence. It can have non-specific presentations, leading to delay in diagnosis, hence potentially increasing maternal and fetal morbidity and mortality. A number of risk factors for the condition have been identified. We describe the case of a 31-year-old woman presenting with urinary retention at 18 weeks’ gestation. Clinical examination revealed features consistent with a gravid uterus impacted in the pelvis. Management with urinary catheterisation followed by gentle manual disimpaction of the uterus was successful.

Transabdominal ultrasonography showing the retroverted gravid uterus at

Stranded under the Prom: impacted gravid uterus presenting as acute urinary retention: Figure 1

Psychogenic Urinary Retention after Parturition, Resulting in

Retrodisplaced Gravid Uterus

JCM November 2020 - Browse Articles

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