If the incarceration is not relieved the anterior part of the lower uterine segment distends to accommodate the growing pregnancy. This may lead to rupture of the uterus. Frequency then difficulty which may progress to acute retention of urine due to elongation and compression of the urethra. Differential Diagnosis Ovarian cyst with pregnancy.
Posterior wall fibroid with pregnancy.
Frequent prone position. Examine the patient during 14-18 weeks if spontaneous correction was not occur, manual correction is advised. Slow evacuation of the bladder and leave Foley's catheter to keep it empty. Place the patient in prone or Sims' position. In extremely rare cases, laparotomy may be needed to free the adhesions.