title: Stranded under the Prom: impacted gravid uterus presenting as acute urinary retention.
abstract: Acute urinary retention in pregnancy secondary to an impacted uterus is a rare occurrence. It can have non-specific presentations, leading to delay in diagnosis, hence potentially increasing maternal and fetal morbidity and mortality. A number of risk factors for the condition have been identified. We describe the case of a 31-year-old woman presenting with urinary retention at 18 weeks' gestation. Clinical examination revealed features consistent with a gravid uterus impacted in the pelvis. Management with urinary catheterisation followed by gentle manual disimpaction of the uterus was successful.
authors.affiliation: Bond University, Robina, Queensland, Australia.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Lam
authors.affiliation: Department of Medicine, Monash Health, Clayton, Victoria, Australia.
authors.forename: Christopher Foong Dhin Li Wai
authors.initials: CF
authors.lastname: Suen
mesh_terms: D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology / Q000628:therapy*; D011261:Pregnancy Trimester, First; D016896:Treatment Outcome; D014546:Urinary Catheterization / Q000379:methods*; D016055:Urinary Retention / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology* / Q000473:pathology; D014591:Uterine Diseases / Q000150:complications* / Q000473:pathology / Q000628:therapy; D014599:Uterus / Q000473:pathology*