title: Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients.
abstract: Gravid uterine incarceration (GUI) is a condition that is well discussed in literature; however, there are few acute diagnoses in the emergency department (ED). We present a case series where three multiparous females presented to the ED with non-specific urinary symptoms. On bedside ultrasound, each patient was noted to have a retroverted uterus and inferior bladder entrapment under the sacral promontory. GUI is a rare condition that can lead to uremia, sepsis, peritonitis, and ultimately maternal death. Emergency physicians should include GUI in their differential diagnosis in this patient population and use bedside ultrasound as an adjunct to diagnosis.
authors.affiliation: Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.
authors.forename: Richard
authors.initials: R
authors.lastname: Slama
authors.affiliation: Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.
authors.forename: Mike
authors.initials: M
authors.lastname: Barry
authors.affiliation: Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.
authors.forename: Ken
authors.initials: K
authors.lastname: McManus
authors.affiliation: Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.
authors.forename: Doug
authors.initials: D
authors.lastname: Latham
authors.affiliation: Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Berniard
mesh_terms: D000328:Adult; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D016055:Urinary Retention / Q000209:etiology*; D014591:Uterine Diseases / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D055815:Young Adult