Asymptomatic Uterine Incarceration at Near-Term Pregnancy with a Successful Delivery Outcome: A Case Report and Review of Literature

Abstract

An incarcerated gravid uterus is a rare obstetrical complication that requires close monitoring to ensure fetal and maternal well-being and to plan a successful delivery. Most patients present with vague anatomic pressure-related symptoms, such as pelvic discomfort and urinary symptoms, in the early 2nd trimester. Initial presentation in the 3rd trimester is scarce, and asymptomatic cases are even rarer. In this case report, we present an asymptomatic patient who was referred at 30 weeks of gestation with an initial impression of placenta previa totalis. She was not a candidate for uterine reduction; therefore, after a close follow-up period, she underwent planned cesarean section at 36 weeks of gestation. Because of its rare frequency and related obstetrical complications, early clinical suspicion and diagnosis are critical for management until delivery and establishing a successful delivery strategy.