{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:18:16Z","timestamp":1778627896578,"version":"3.51.4"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Eine seltene Komplikation in der Geburtshilfe ist die posteriore Sakkulation des Uterus. Bleibt die Aufrichtung des schwangeren retroflektierten Uterus aus, persistiert der Fundus in der hinteren Kreuzbeinh\u00f6hle. Durch die zunehmende Gr\u00f6\u00dfe ver\u00e4ndert sich die gewohnte Anatomie und es kann bei Unkenntnis dar\u00fcber zu einer hohen Morbidit\u00e4t f\u00fcr die Mutter kommen. Fr\u00fchzeitige Aufrichtungsversuche k\u00f6nnen eine komplikationslose Prolongation der Schwangerschaft erm\u00f6glichen. In unserem Fall berichten wir von einer Erstgravida mit Erstdiagnose einer posterioren Sakkulation des Uterus in der 21. Schwangerschaftswoche. Nach Best\u00e4tigung der Diagnose mittels MRT gelang die Aufrichtung des Uterus durch vaginal digitales Anheben des Uterus sowie zeitgleicher rektoskopischer CO2-F\u00fcllung. Im weiteren Verlauf kam es zur komplikationslosen Spontangeburt nach Blasensprung in der 35. Schwangerschaftswoche.<\/jats:p>","DOI":"10.1055\/a-1285-8338","type":"journal-article","created":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T01:44:52Z","timestamp":1605231892000},"page":"176-179","source":"Crossref","is-referenced-by-count":1,"title":["Posteriore Sakkulation des Uterus im zweiten Trimenon \u2013 Diagnostik, erfolgreiche Therapie und Literatur"],"prefix":"10.1055","volume":"225","author":[{"given":"Beate","family":"H\u00fcner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Handke-Vesely","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Janni","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Reister","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinikum Ulm, Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1186\/s12884-019-2549-3","article-title":"Incarceration of the gravid uterus: a case report and literature review","volume":"19","author":"C Han","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref2","first-page":"57","article-title":"Die Sakkulation des Uterus \u2013 Eine seltene, aber bedrohliche Komplikation in der Schwangerschaft","volume":"187","author":"N Linder","year":"2015","journal-title":"Fortschr 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incarceration at term: Successful management of a rare complication in pregnancy","volume":"57","author":"P-C Hsu","year":"2018","journal-title":"Taiwan J Obstet Gynecol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1097\/00006254-199409000-00026","article-title":"Incarceration of the gravid uterus","volume":"49","author":"L Lettieri","year":"1994","journal-title":"Obstet Gynecol Surv"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1002\/uog.6121","article-title":"Prenatal sonographic and MRI findings in a pregnancy complicated by uterine sacculation: case report and review of the literature","volume":"32","author":"E M Gottschalk","year":"2008","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3941\/jrcr.v8i7.1854","article-title":"Case report: incarceration of the gravid uterus: a radiologic and obstetric challenge","volume":"8","author":"I 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Res"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1097\/00006250-200311001-00004","article-title":"Role of magnetic resonance imaging in the diagnosis of incarceration of the gravid uterus","volume":"102","author":"H J van Beekhuizen","year":"2003","journal-title":"Obstet Gynecol"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und 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