Intrauterine device embedded in omentum of postpartum patient with a markedly retroverteduterus: a case report The intrauterine device is a popular form of long-acting reversible contraception. Although generally safe, one of the most serious complications of intrauterine device use is uterine perforation. Risk factors for perforation include position of the uterus, force exerted during and specific location of uterine perforation in relation to the position of the uterus. We present a case of an intrauterine device found in the omentum of a 30-year-old white postpartum woman with a significantly retroverteduterus after the intrauterine device threads were not visualized on speculum examination during a 6-week placement check. The intrauterine device was located and removed via laparoscopy
is pushed back up into the kidneys.• The bladder mucosa can become oedematous which increases the risk of urinary tract infection (UTI) (caused by reflux), pyelonephritis and/or trauma (Chauhan and Tadi, 2022).• A retroverteduterus can compress the urethra and cause urinary retention or voiding difficulties.• Urinary frequency increases as the growing fetus is competing for space in the abdomen
the uterus• lightly applying pressure to the posterior portion of the cervix with the vaginal hand will bring the uterus towards the abdomen• once the uterus is raised, use the external hand to palpate, taking note of size, shape, position and consistency• if the uterus is retroverted or retroflexed, it will not come up between the examining hands – differentiation between an anteverted and retroverteduterus is vital for certain procedures• assess the uterus, taking note of size, shape, position, consistency, mobility and tenderness• record findings from the uterine palpation.Follow the guidelines below for palpation and examination of the adnexa:• move abdominal hand to the lower abdominal quadrant on the same side as the internal hand• move fingers in the vagina to either the right or left sides
Most evidence reviewed by the committee came from studies done outside the UK and there was some uncertainty about the generalisability of this evidence to the UK setting. 3.6 There may be additional safety concerns in patients who have had previous abdominal surgery (including caesarean section); in patients who are obese; and in patients who have a retroverteduterus. ISBN: 978-1-4731-3457-7
ACR Appropriateness Criteria® 4 Fibroids enlarged fibroid uterus or large subserosal/pedunculated fibroids that may render poor visualization on TVUS because of limited field-of-view from poor acoustic penetration. A potential limitation of TAUS is the poor acoustic window from decompressed urinary bladder, retroverteduterus, large body habitus, and bowel gas [46]. US Pelvis Transvaginal window from decompressed urinary bladder, retroverteduterus, large body habitus, and bowel gas [46]. US Pelvis Transvaginal TVUS provides higher contrast and spatial resolution and should be combined with the TAUS whenever possible to evaluate suspected uterine fibroid [46,47]. TVUS has a reported sensitivity of 90% to 99% for detecting uterine fibroids and a sensitivity of 90% and specificity of 98
are determined by chorionicity and not zygosity. [2011] [2011] 1.1.10 Conduct regular clinical audits to evaluate the accuracy of determining chorionicity and amnionicity. [2011, amended 2019] [2011, amended 2019] 1.1.11 If transabdominal ultrasound scan views are poor because of a retroverteduterus or a high BMI, use a transvaginal ultrasound scan to determine chorionicity and amnionicity. [2011, amended
Laparoscopic Ventrosuspension for Women With RetrovertedUterus and Pelvic Pain Syndromes: A New Approach In women with retroverted retroverteduterus complaining of pelvic pain, Laparoscopy was done. Under vision the skin overlying the attachment of the round ligament to the anterior abdominal wall was incised followed by introduction of 30 curved needle attached to absorpable Vicryl 2/0 suture by closure of the skin incision. In women with retroverted retroverteduterus complaining of pelvic pain, Laparoscopy was done. Under vision the skin overlying the attachment of the round ligament to the anterior abdominal wall was incised followed by introduction of 30 curved needle attached to absorpable Vicryl 2/0 suture through the incision and withdrawn through grasper under laparoscopi vision
examination remains the gold standard for diagnosis, surgical confirmation of endometriosis is not required before starting therapy.History and examKey diagnostic factors * presence of risk factors * dysmenorrhoea * chronic or cyclic pelvic pain * dyspareunia * sub-fertility * uterosacral ligament nodularity * pelvic mass * fixed, retroverteduterus * depression * absenteeismMore key diagnostic factorsOther
, a retroverteduterus, and the maternal bodyhabitus may limit the ability of higher-frequencytransducers to provide optimal anatomic detail. Theuse of transvaginal imaging with transducer frequen-cies of 5 to 12 MHz enhances detection rates ofstructural malformations and should be used if thetransabdominal approach is limited by maternal fac-tors or when an anomaly is suspected.11–13,19Power, color
; —tense and tender uterosacral ligaments; —fixed and retroverteduterus and adnexa; —tender adnexal masses; —intestinal wall thickening or unnatural intestinal twist; —palpable masses in the intestinal wall; —pelvic pain during the exam. The detection rate for endometriosis might be higher if the clinical evaluation was performed during menstrua-tion [56, 57]. Imaging tests should always be performed
examination remains the gold standard for diagnosis, surgical confirmation of endometriosis is not required before starting therapy.History and examKey diagnostic factors * presence of risk factors * dysmenorrhoea * chronic or cyclic pelvic pain * dyspareunia * sub-fertility * uterosacral ligament nodularity * pelvic mass * fixed, retroverteduterus * depression * absenteeismMore key diagnostic factorsOther
academic medical institution between March 2020 and July 2023, as well as a narrative review of the literature on 'incarcerated gravid uterus.' PubMed, Google Scholar, and Ovid MEDLINE databases were searched for the terms "incarcerated gravid uterus," "uterine incarceration," "uterine sacculation," and "retroverteduterus" up to April 2024. The transvaginal ultrasound probe technique resulted
with progressive pelvic pain, dysmenorrhea, dyspareunia, and secondary infertility with recurrent embryo transfer failures. The progressively debilitating symptoms started 14 years ago, shortly after her last cesarean section. Magnetic resonance imaging and ultrasound demonstrated a retroverteduterus and a prominent, thin, fluid-filled cesarean scar defect with a residual myometrial thickness of 1.1 mm
. Rotation facilitates further examination of the opposing walls of the rectum. In men, the prostate gland will be felt anteriorly. In women, the cervix and a retroverteduterus may be felt with the tip of the finger. It is important to feel the walls of the rectum throughout the 360°. Small rectal wall lesions may be missed if this is not done carefully.Examination of the prostate gland (felt anteriorly
bridge can be highly effective when there is pain following episiotomy.Ventrosuspension to 'correct' a retroverteduterus in an anteverted position is occasionally proposed but it is not known if it is effective as there are no randomised controlled trials of this procedure[7] .ComplicationsMany women do not consult a doctor. The sex life of the couple suffers, as does their relationship.PrognosisThe
Spontaneous reduction of an incarcerated gravid uterus after myomectomy in the second trimester: A case report. During a normal pregnancy, in the 1st trimester uterus lies in pelvis and enlarges in size as the pregnancy advances. By 14 weeks of gestation, the gravid uterus transforms from a pelvis to an abdominal organ and a retroverteduterus will correct as the fundus rises out of the pelvis
cavity check, and 9% use suction to flush the cavity to aid vision during the post-procedure cavity check. The majority (76%) predicted dilatation as the stage most likely to cause uterine perforation and predicted the most likely site for perforation as the posterior uterine wall in the anteverted uterus and the anterior uterine wall in the retroverteduterus. This study highlights varied practice
examination and the presumptive diagnosis of short cervix was done. The patient was followed up closely and remained asymptomatic. Retrospective analysis of the ultrasound images showed a retroverteduterus with an elongated cervix compressed towards the anterior vaginal wall. At 26 weeks of gestation, ultrasound showed a cervical length of 41 mm and a fundal placenta and the diagnosis of spontaneous
. Satisfactory optimization was possible after correcting acute anteflexion or positioning tandem in retroverted direction in uncorrectable retroverteduterus. Dose normalization at point A shifted optimized dose from contoured volume to point of normalization, often undesirably. This difference, however, was statistically not significant ( = 0.121). In patients having obstructing mass, subsequent insertions retroversion should be corrected. Tandem inserted in retroverted direction in uncorrectable retroverteduterus generates acceptable dose volume parameters. In cases with obstructive cervical mass, good subsequent insertion is possible with acceptable dose volume parameters, if planned dose can be delivered to its 60% volume.
Uterine anteversion after uterine fibroid embolization Uterine fibroid embolization has been proven effective in treating symptomatic uterine fibroids for appropriately selected patients as an alternative option to surgical approaches. The most common adult uterine position is anteverted followed by a retroverteduterus which can be found in roughly 15%-20% of normal adult females