{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:18:27Z","timestamp":1778627907525,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Approximately 15% of women have a retroverted uterus prior to pregnancy, and retroversion occurs in 11% of women in the first trimester of pregnancy. However, the uterus usually moves to an upward position before 14 weeks' gestation. Incarceration and sacculation of a retroverted uterus occur in 1 in 3000 pregnancies and are difficult to diagnose. They have often been missed until shortly before delivery and can lead to serious obstetric emergencies such as labor dystocia, uterine rupture, retained placenta and uncontrollable postpartum hemorrhage. Performing a Cesarean section without correct diagnosis may cause difficulties in identifying the bladder and the cervix, and therefore in opening the lower uterine segment. This leads to bladder injuries, vaginal transsection and trans\u2010 or supracervical hysterectomy. Early diagnosis and detailed scanning are crucial for the obstetric management and operative approach.<\/jats:p><jats:p>We report a case of an incarcerated uterus in a patient presenting at 24 weeks' gestation with severe bilateral flank and lower abdominal pain. The symptoms were misdiagnosed as appendicitis. Digital examination revealed a ventralized vaginal axis. The cervix was not palpable. The clinical course, and two\u2010 and three\u2010dimensional ultrasound and magnetic resonance imaging findings, are presented. The delivery was performed by midline laparotomy Cesarean section. The management for different gestational ages and a review of the literature are discussed. Copyright \u00a9 2008 ISUOG. Published by John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/uog.6121","type":"journal-article","created":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T10:41:16Z","timestamp":1217587276000},"page":"582-586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Prenatal sonographic and MRI findings in a pregnancy complicated by uterine sacculation: case report and review of the literature"],"prefix":"10.1002","volume":"32","author":[{"given":"E. M.","family":"Gottschalk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.\u2010P.","family":"Siedentopf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Schoenborn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Gartenschlaeger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. W.","family":"Dudenhausen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Henrich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,8]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.146.1.6849041"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000141695.83741.94"},{"key":"e_1_2_3_4_2","first-page":"665","article-title":"Incarceration of the retroverted gravid uterus\u2014a review","volume":"78","author":"Jacobsson B","year":"1999","journal-title":"Acta Obstet Gynecol Scand"},{"key":"e_1_2_3_5_2","first-page":"536","article-title":"Anterior sacculation of the pregnant uterus","volume":"20","author":"Smith JJ","year":"1962","journal-title":"Obstet Gynecol"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(67)90239-6"},{"key":"e_1_2_3_7_2","first-page":"842","article-title":"The incarcerated gravid uterus","volume":"33","author":"Gibbons JM","year":"1969","journal-title":"Obstet Gynecol"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6010.622"},{"key":"e_1_2_3_9_2","volume-title":"The Art of Midwifery, Improved","author":"van Deventer H","year":"1716"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.73.876.11205679"},{"key":"e_1_2_3_11_2","first-page":"438","volume-title":"The Principles and Practice of Obstetrics","author":"DeLee JB","year":"1933"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(96)00102-0"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(91)90080-5"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2002.21.10.1165"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199409000-00026"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1071"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(86)90074-4"},{"key":"e_1_2_3_18_2","first-page":"358","article-title":"Zur Lehre von der Retroversio uteri gravidi","volume":"46","author":"Gottschalk S","year":"1894","journal-title":"Arch Gynecol Obstet"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200311001-00004"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(94)00283-J"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000187941.89604.b6"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199911000-00029"},{"key":"e_1_2_3_23_2","first-page":"385","article-title":"Retroversion of the womb","volume":"16","author":"Merriman S","year":"1806","journal-title":"Med Phys J (London)"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.6121","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.6121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,8]],"date-time":"2023-10-08T08:10:47Z","timestamp":1696752647000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.6121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,8]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,9]]}},"alternative-id":["10.1002\/uog.6121"],"URL":"https:\/\/doi.org\/10.1002\/uog.6121","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,8]]},"assertion":[{"value":"2008-06-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-08-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}