Nongravid incarcerated uterus with leiomyomas treated with uterine artery embolization and hysterectomy: a case report
Bibliographic record
Abstract
Background: The incarcerated uterus in the nongravid patient is rare, and usually is associated with uterine leiomyomas. Leiomyomas may be treated with uterine artery embolization, but the use of embolization has been reportedly rarely in treating nongravid uterine incarceration. Case: A 50-year-old gravida 2 para 2 woman presented with acute abdominal and flank pain and urinary retention. Her medical history included uterine leiomyomas and nephrolithiasis. Physical examination showed an enlarged uterus (size, 22 weeks). Magnetic resonance imaging showed an incarcerated uterus, complete bladder outlet obstruction, uterine retroflexion and enlargement, and leiomyomas. She was treated with an indwelling Foley catheter, preoperative uterine artery embolization, and total abdominal hysterectomy. Conclusion: Preoperative uterine artery embolization may be a useful adjunct to hysterectomy in the treatment of the nongravid incarcerated uterus associated with leiomyomas in women who have completed family planning.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.005 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".