Expectant Management Leading to Successful Vaginal Delivery following Intrauterine Fetal Death in a Woman with an Incarcerated Uterus

Figure 1

Sagittal T2-weighted magnetic resonance imaging (MRI) at 18 weeks of gestation shows a large fibroid (white asterisk) engaged in the pouch of Douglas. The cervix (white arrow) and the anterior wall of uterus (dashed line) are cranioventrally stretched. The fundus and the posterior wall of uterus (dotted line) were entrapped in the pelvis between the sacral promontory and pubic symphysis. Dashed arrows show external ostium of uterus (a) and internal one (b). F = fetus; P = placenta (a, b).

(a)

(b)