Non-puerperal uterine inversion due to huge submucosal uterine myoma: a case report
Keywords:Uterine inversion, Non-puerperal, Sumucous myoma, Port Harcourt
Uterine inversion is a rare clinical entity with challenging diagnosis and management. Reports of successfully managed cases contribute to knowledge and aid future management of cases among practitioners. We report a case of a 46 year old para-3 with protrusion of a mass from her vagina and vaginal bleeding of 7 days duration. She was managed as a case of chronic uterine inversion. She was resuscitated and had vaginal myomectomy, Haultin’s procedure and subsequently total abdominal hysterectomy due to ischaemic necrosis of parts of the uterus.
Lupovitch A, England ER, Chen R. Non-puerperal uterine inversion in association with uterine sarcoma: case report in a 26-year-old and review of the literature. Gynaecol Oncol. 2005;97(3):938-41.
Occhionero M, Restaino G, Ciuffreda M, Carbone A, Sallustio G, Ferrandina G. Uterine inversion in association with uterine sarcoma: a case report with MRI findings and review of the literature. Gynecol Obstet Invest. 2012;73(3):260-4.
Katdare P, Valecha SM, Gandhewar M, Dhingra D. Chronic non-puerperal uterine inversion: recommendations for diagnosis and management. Global J Med Res. 2013;13:44-7.
Lascarides E, Cohen M. Surgical management of non-puerperal inversion of the uterus. Obstet Gynecol. 1968;32:376-81.
Kumari A, Vidhyarthi A, Salini KM. Chronic Uterine Inversion Secondary to Submucous Fibroid: a Rare Case Report. Int J Sci Stud. 2016;3:302-4.
Gomez-Lobo V, Burch W. Nonpuerperal uterine inversion associated with an immature teratoma of the uterus in an adolescent. Obstet Gynecol. 2008;112:708-9.
Jones HW. Non-puerperal inversion of uterus. Am J Surg. 1951;81:492-5.
Bista KD, Rana A, Gurung G, Pradhan N, Amatya A. Towards uterine inversion: Illustration of a gradual process through three cases of submucous myoma. N J Obstet Gynaecol. 2006;1(2):51-4.
Leconte I, Thierry C, Bongiorno A, Luyckx M, Fellah L. Non-puerperal uterine inversion. J Belgian Society Radiol. 2016;100:1-5.
Hsieh TT, Lee JD. Sonographic findings in acute puerperal uterine inversion. J Clin Ultrasound. 1991;19:306e9.
Auber M, Darwish B, Lefebure A, Ness J, Roman H. Magnetic resonance imaging of non-puerperal complete uterine. Iran J Radiol. 2015;12(4):e9878.
Lewin JS, Bryan PJ. MR imaging of uterine inversion. J Comput Assist Tomogr. 1989;13(2):357e9.
Zhang X, Sun L, Chen X, Hua K. Uterus preserving reposition of non-puerperal uterine inversion under laparoscope: a case report and literature review. Gynaecol Obstet Invest. 2015;79(3):206-9.
Zechmeister R.J, Levey K. A. “Successful Robotically Assisted Laparoscopic Correction of Chronic Uterine Inversion” Journal of Minimally Invasive Gynecol 2011;18(5):671-3.
Della Corte L, Giampaolino P, Fabozzi A, di Spiezio Sardo A, Bifulco G. An Exceptional Uterine Inversion in a Virgo-intacta Patient Affected by Submucosal Leiomyoma: Case Report and Review of the Literature. The J Obstet Gynaecol Res. 2019;45(2):466-72.