{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T14:50:54Z","timestamp":1785250254588,"version":"3.55.0"},"reference-count":21,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T00:00:00Z","timestamp":1701302400000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,11]]},"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Uterine incarceration (UI) is a rare complication in non-pregnant women. A woman in her 50s presented to the emergency department with acute urinary retention and paresis of the right inferior limb. A neurological exam suggested a decrease in the right lower limb strength. On gynaecological exam, the cervix was displaced anteriorly and the cul de sac was obliterated with a pelvic mass. CA 19.9 and CA 125 levels were increased. The MRI of the pelvis confirmed an elongated and anteriorly displaced cervix compressing the urethra and the vesical neck due to a uterine mass. A diagnosis of UI was made and an abdominal hysterectomy with adhesiolysis was suggested as the treatment option. Six months after surgery the patient had no urinary complaints and the neurological exam was normal. UI should be considered in women with urinary and neurological symptoms. A delay in diagnosis may lead to significant morbidity.<\/jats:p>","DOI":"10.1136\/bcr-2023-255799","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T09:15:15Z","timestamp":1701335715000},"page":"e255799","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Uterine incarceration: a rare diagnosis in non-pregnant women"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5112-4008","authenticated-orcid":false,"given":"Laura Tavares","family":"Cruz","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5962-1560","authenticated-orcid":false,"given":"Catarina","family":"Reis-de-Carvalho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Lu\u00edsa","family":"Ribeirinho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,11,30]]},"reference":[{"key":"2025082706471026000_16.11.e255799.1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.3390\/medicina57030207","article-title":"A 30-month complete urinary obstruction resulting from trapped and incarcerated uterus: a case report","volume":"57","author":"Nam","year":"2021","journal-title":"Medicina"},{"key":"2025082706471026000_16.11.e255799.2","doi-asserted-by":"crossref","DOI":"10.1016\/j.crwh.2019.e00123","article-title":"Surgical management of an incarcerated uterus in a gynecological patient: a case report","volume":"23","author":"Fahimuddin","year":"2019","journal-title":"Case Rep Womens Health"},{"key":"2025082706471026000_16.11.e255799.3","doi-asserted-by":"crossref","first-page":"645","DOI":"10.7863\/jum.2012.31.4.645","article-title":"Sonographic and magnetic resonance imaging findings in uterine incarceration","volume":"31","author":"Fernandes","year":"2012","journal-title":"J Ultrasound Med"},{"key":"2025082706471026000_16.11.e255799.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(97)70058-1"},{"key":"2025082706471026000_16.11.e255799.5","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1016\/j.fertnstert.2007.10.008","article-title":"Acute urine retention in early pregnancy resulting from fibroid incarceration: proposition for management","volume":"90","author":"Chauleur","year":"2008","journal-title":"Fertil Steril"},{"key":"2025082706471026000_16.11.e255799.6","doi-asserted-by":"crossref","first-page":"776","DOI":"10.3109\/14767050903410680","article-title":"Recurrent incarceration and\/or sacculation of the gravid uterus: a review","volume":"23","author":"Dierickx","year":"2010","journal-title":"J Matern Fetal Neonatal Med"},{"key":"2025082706471026000_16.11.e255799.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2665-1"},{"key":"2025082706471026000_16.11.e255799.8","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1016\/j.jvir.2008.06.014","article-title":"Uterine fibroid embolization for patients with acute urinary retention","volume":"19","author":"Haskal","year":"2008","journal-title":"J Vasc Interv Radiol"},{"key":"2025082706471026000_16.11.e255799.9","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s00192-006-0138-2","article-title":"Intermittent urinary retention secondary to a uterine leiomyoma","volume":"18","author":"Barnacle","year":"2007","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"2025082706471026000_16.11.e255799.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(03)00697-5"},{"key":"2025082706471026000_16.11.e255799.11","first-page":"455","article-title":"Adenomyoma associated with high level of CA 125 and CA 19-9: case report","volume":"32","author":"Sato","year":"2011","journal-title":"Eur J Gynaecol Oncol"},{"key":"2025082706471026000_16.11.e255799.12","doi-asserted-by":"crossref","first-page":"665","DOI":"10.3892\/etm.2022.11601","article-title":"Uterine adenomyotic cyst with markedly elevated serum CA19-9 and CA125 levels: a case report","volume":"24","author":"Zheng","year":"2022","journal-title":"Exp Ther Med"},{"key":"2025082706471026000_16.11.e255799.13","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.7863\/jum.2002.21.10.1165","article-title":"Sonographic findings of acute urinary retention secondary to an impacted pelvic mass","volume":"21","author":"Yang","year":"2002","journal-title":"J Ultrasound Med"},{"key":"2025082706471026000_16.11.e255799.14","first-page":"384","article-title":"Urinary retention and voiding dysfunction in women with uterine leiomyoma: a case series","volume":"57","author":"Yazdany","year":"2012","journal-title":"J Reprod Med"},{"key":"2025082706471026000_16.11.e255799.15","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s00404-009-1058-4","article-title":"Turhan no.acute urinary retention caused by a large impacted leiomyoma","volume":"280","author":"Derbent","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"2025082706471026000_16.11.e255799.16","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s00192-013-2158-z","article-title":"Pelvic plexus compression due to a uterine Leiomyoma in a woman with acute urinary retention: a new hypothesis","volume":"25","author":"Andrada","year":"2014","journal-title":"Int Urogynecol J"},{"key":"2025082706471026000_16.11.e255799.17","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/AOG.0000000000000102","article-title":"The incarcerated gravid uterus: complications and lessons learned","volume":"123","author":"Newell","year":"2014","journal-title":"Obstet Gynecol"},{"key":"2025082706471026000_16.11.e255799.18","first-page":"101","article-title":"Acute urinary obstruction in pregnancy","volume":"45","author":"Sacco","year":"1993","journal-title":"Minerva Ginecol"},{"key":"2025082706471026000_16.11.e255799.19","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1097\/00006254-199409000-00026","article-title":"Incarceration of the gravid uterus","volume":"49","author":"Lettieri","year":"1994","journal-title":"Obstet Gynecol Surv"},{"key":"2025082706471026000_16.11.e255799.20","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1097\/00006250-199911000-00029","article-title":"Colonoscopic release of the incarcerated gravid uterus","volume":"94","author":"Seubert","year":"1999","journal-title":"Obstet Gynecol"},{"key":"2025082706471026000_16.11.e255799.21","first-page":"665","article-title":"Incarceration of the retroverted gravid uterus: a review","volume":"78","author":"Jacobsson","year":"1999","journal-title":"Acta Obstet Gynecol Scand"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-255799","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:47:22Z","timestamp":1756302442000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-255799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":21,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023,11,30]]},"published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1136\/bcr-2023-255799"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-255799","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}