Incarcerated Retroverted Uterus in the Third Trimester Complicated by Postpartum Pulmonary Embolism

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Abstract

BACKGROUND:

Incarceration of the retroverted gravid uterus is an extremely rare diagnosis in the third trimester that carries significant maternal operative and postoperative morbidity.

CASE:

The condition was diagnosed clinically in the third trimester of a primigravida. Despite the preoperative diagnosis, operative delivery proved difficult, requiring delivery of the fetus through the posterior wall of the uterus. Thirty-six hours after delivery the patient had a pulmonary embolus.

CONCLUSION:

This case report discusses the diagnosis and management of the condition incarcerated, retroverted uterus with postpartum pulmonary embolism. Prophylactic low molecular weight heparin in the antepartum period should be a considered for possible venous stasis due to the anatomy of the uterus.

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