The hidden twist: chronic uterine inversion masquerading in plain sight
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20260905Keywords:
Chronic uterine inversion, Submucosal fibroidAbstract
Spontaneous non puerperal uterine inversion is an exceedingly rare gynaecological event. When it occurs, it is often due to an intrauterine polypoid mass attached to the uterine fundus, eventually pulling the uterus inside out over time as the mass increases in time. Here we present the cases of postmenopausal women presented with mass per vagina. A clinical diagnosis of chronic uterine inversion due to pedunculated submucous fibroid was made and was surgically managed.
References
Hu J, Yang W, Zhang F, Yan C. A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review. J Int Med Res. 2025;53(1). DOI: https://doi.org/10.1177/03000605241311158
Das P. Inversion of the uterus. BJOG Int J Obstet Gynaecol. 1940;47(5):525-48. DOI: https://doi.org/10.1111/j.1471-0528.1940.tb08843.x
Asefa E, Abdulhay F, Dhugasa D. Chronic Uterine Inversion in 54 Year Old Woman: Case Report. Int Med Case Rep J. 2023;16:627-31.
Singh A, Ghimire R. A Rare Case of Chronic Uterine Inversion Secondary to Submucosal Fibroid Managed in the Province Hospital of Nepal. Case Rep Obstet Gynecol. 2020;2020:6837961. DOI: https://doi.org/10.1155/2020/6837961
Takano K, Ichikawa Y, Tsunoda H, Nishida M. Uterine Inversion Caused by Uterine Sarcoma. A Case Report. Japanese J Clin Oncol. 2001;31:39-42. DOI: https://doi.org/10.1093/jjco/hye002
Lewin JS, Bryan PJ. MR imaging of uterine inversion. J Comput Assist Tomogr. 1989;13(2):357-9. DOI: https://doi.org/10.1097/00004728-198903000-00038
Asefa E, Abdulhay F, Dhugasa D. Chronic Uterine Inversion in 54 Year Old Woman: Case Report. Int Med Case Rep J. 2023;16:627-31. DOI: https://doi.org/10.2147/IMCRJ.S411300
Huntington JL. Abdominal reposition in acute uterine inversion of the puerperal uterus. AM J Obstetr Gynaecol. 1928;15:34-40. DOI: https://doi.org/10.1016/S0002-9378(15)32679-X
Haultain FWN. The Treatment of Chronic Uterine Inversion By Abdominal Hysterotomy, With A Successful Case. Br Med J. 1901;2(2127):974-6.
Fofie CO, Baffoe P. Non-puerperal uterine inversion: a case report. Ghana Med J. 2010;44(2):79-81. DOI: https://doi.org/10.4314/gmj.v44i2.68889
Kurniawati E, Masteryanto HM, Hardianto G, Paraton H, Hadi THS. A 63-Year-Old Postmenopausal Woman with Uterine Inversion Associated with a Submucosal Geburt Fibroid Successfully Treated by Surgical Reversal Using the Spinelli Procedure. Am J Case Rep. 2023;24:e938390. DOI: https://doi.org/10.12659/AJCR.938390
Kilpatrick CC. Chronic NPUI and necrosis, a case report. J Med Case Rep. 2010;4:381. DOI: https://doi.org/10.1186/1752-1947-4-381
Kochenour NK. Intrapartum obstetric emergencies. Crit Care Clin. 1991;7:851-64. DOI: https://doi.org/10.1016/S0749-0704(18)30284-7
Ogueh O, Ayida G. Acute uterine inversion: a new technique of hydrostatic replacement. Br J Obstet Gynaecol. 1997;104(8):951-2. DOI: https://doi.org/10.1111/j.1471-0528.1997.tb14358.x