Evidence map›Paper›PMID 36819576›Full record

ArticleAnnals of translational medicine2023

Anterior uterine incarceration complicated by placenta previa and placenta accreta spectrum disorder: a case report.

Lian Wu, Bailei Zhang, Jing Xu, Yu Zhang, Mingming Shu, Li Zhang, Jing Zhang, Kaiheng Zhang, Wenming Zhuang

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Annals of translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Lian WuDepartment of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Bailei ZhangDepartment of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Jing XuDepartment of Ultrasound, Ningbo Women and Children's Hospital, Ningbo, China.
Yu ZhangDepartment of Radiology, Ningbo Women and Children's Hospital, Ningbo, China.
Mingming ShuDepartment of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Li ZhangDepartment of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Jing ZhangDepartment of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Kaiheng ZhangDepartment of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Wenming ZhuangDepartment of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Ningbo No.6 Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Uterine incarceration is a rare obstetric complication that is always associated with retroversion and prone to misdiagnosis. Pelvic examination and imaging methods including ultrasound and magnetic resonance imaging (MRI) are used as the primary diagnostic tool. We present an asymptomatic anterior uterine incarceration complicated by placenta previa and placenta accreta spectrum (PAS) disorder, which could be diagnosed during the pregnancy periods, but was first diagnosed during the cesarean section (CS) and got the surgeons into trouble. Case Description: A 28-year-old woman, gravidity 4, parity 1, was hospitalized due to placenta previa and PAS disorder diagnosed by ultrasound and MRI at 35.6 weeks of gestation. She had not experienced any discomfort. Given her history of a previous CS, she underwent a well-prepared cesarean delivery for the termination of the pregnancy. The patient had a series of periodical ultrasound and MRI examinations in which placenta previa and placenta accreta were described in disregard of the abnormal location of cervix; consequently, interior uterine incarceration was first diagnosed during the surgery, which caused significant difficulties in the operation which lasted 3 hours and 21 minutes. The patient developed severe hemorrhaging and lost approximately 5,000 mL of blood. Fortunately, she delivered a health male infant weighing 3,440 grams with quite good Apgar scores. During the follow-up, maternal and child health was confirmed. Conclusions: With regard to patients who have undergone previous pelvic surgery, doctors need to pay close attention to the position of the cervix, the pelvic adhesion situation during the prenatal examination, and be on alert for uterine incarceration. Uterine incarceration can be accurately recognized by periodic sonography and MRI if the radiologist is aware of this unusual condition. We do suggest that special are must be taken to avoid unnecessary trauma by misdiagnosis because of lack of awareness.

Indexed as

case reportpelvic adhesionplacenta accrete spectrum disorderplacenta previaUterine incarceration

Identifiers

PMID36819576
PMCPMC9929783
OpenAlexW4313459527

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.