A case of uterine incarceration caused by carcinosarcoma accompanied with pyometra

Uterine incarceration is rare clinical condition which principally occurs after the first trimester during pregnancy. Main clinical symptoms of uterine incarceration are abdominal pain and urinary symptoms such as urinary retention. Until now, almost all cases of uterine incarceration have been associated with the gravid uterus. To the present authors’ knowledge, only a few reports of this condition associated with uterine leiomyoma have been reported in the English literature. They present the first case of uterine incarceration caused by malignant gynecologic neoplasm (carcinosarcoma) accompanied with pyometra. Inferring from the patient’s symptoms and vaginal examination findings, they clinically diagnosed her as uterine incarceration, thereafter magnetic resonance imaging revealed characteristic findings consistent with uterine incarceration. The clinical course of the present case and clinical considerations regarding uterine incarceration are discussed.

Carcinosarcoma; Pyometra; Retroverted uterus; Urinary retention; Uterine incarceration

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