Non-puerperal uterine inversion caused by a leiomyoma
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20223140Keywords:
Non-puerperal uterine inversion, Maternal morbidity, Vaginal bleeding, HysterectomyAbstract
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.
References
Platt LD, Druzin ML. Acute puerperal inversion of the uterus. Am J Obstet Gynecol. 1981;141(2):187-90.
Wendel MP, Shnaekel KL, Magann EF. Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency. Obstet Gynecol Surv. 2018;73(7):411-7.
Free L, Ruhotina M, Napoe GS, Beffa L, Wohlrab K. Uterine Inversion Presenting as Pelvic Organ Prolapse in a Patient with Leiomyosarcoma. J Minim Invasive Gynecol. 2019;26(7):1217-8.
Mužná L, Pilka R. Uterine inversion. Ceska Gynekol. 2017;82(2):139-44.
Lobo V, Burch W. Nonpuerperal uterine inversion associated with an immature teratoma of the uterus in an adolescent. Obstet Gynecol. 2008;112(3):708-9.
Song YJ, Yang J, Yun HS, Lee SK, Kim HG, Lee DH, et al. Non-puerperal Uterine Inversion Presented with Hypovolemic Shock. J Menopausal Med. 2016;22(3):184-87.
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. Gynecol Oncol. 2005;7(3):938-41.
Krenning RA, Dörr PJ, Groot WH, Goey WB. Non-puerperal uterine inversion. Case report. Br J Obstet Gynaecol. 1982;89(3):247-9.
Rathod S, Samal SK, Pallavee P, Ghose S. Non puerperal uterine inversion in a young female- a case report. J Clin Diagn Res. 2014;8(9):OD01-2.
Komorek A, Lucereau-Barbier M, Diab J, Gavillon N, Graesslin O. Acute non-puerperal uterine inversion the third degree. Gynecol Obstet Fertil. 2013;41(2):130-2.