Non-puerperal uterine inversion caused by a leiomyoma

Fekkoul Soukaina; Rhazi Inas; Taheri Hafsa; Saadi Hanane; Mimouni Ahmed

doi:10.18203/2320-1770.ijrcog20223140

Authors

Fekkoul Soukaina Department of Obstetrics and Gynecology, Mohammed VI University Hospital, Oujda, Morocco http://orcid.org/0000-0001-5401-0181
Rhazi Inas Department of Obstetrics and Gynecology, Mohammed VI University Hospital, Oujda, Morocco
Taheri Hafsa Department of Obstetrics and Gynecology, Mohammed VI University Hospital, Oujda, Morocco
Saadi Hanane Department of Obstetrics and Gynecology, Mohammed VI University Hospital, Oujda, Morocco
Mimouni Ahmed Department of Obstetrics and Gynecology, Mohammed VI University Hospital, Oujda, Morocco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20223140

Keywords:

Non-puerperal uterine inversion, Maternal morbidity, Vaginal bleeding, Hysterectomy

Abstract

Uterine inversion is characterized by the invagination of the fundus of the uterus through the vagina. It’s a rare postpartum complication leading to massive bleeding and it’s extremely rare in non-puerperal cases. Non-puerperal uterine inversion is caused by tumors exerting force on the fundus of the uterus, turning the uterus inside out. It is most frequently associated with benign tumors such as submucosal leiomyomas however, malignant tumors can also be associated. We reported the case of 43-year-old women, G1P1, who was admitted at the emergency department for a bleeding vaginal prolapsed mass. A pelvic MRI performed revealing a complete uterine inversion probably due to a submucous myoma or a malignant process. She underwent a total abdominal hysterectomy with bilateral salpingectomy by both natural and abdominal way. Pathological study revealed a degenerating leiomyoma. The patient recovered well from the operation with no complications.

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Author Biography

Fekkoul Soukaina, Department of Obstetrics and Gynecology, Mohammed VI University Hospital, Oujda, Morocco

Obstetrical-gynecology Resident

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