Inversion of uterus with sub mucus fundal fibroid with secondary infection and shock: a rare case report

K. S. Raja Kumari, Radha S


In inversion of uterus, fundus of uterus comes down in reverse direction, through the cervix, exposing endometrial surface. Diagnosis of inversion of uterus is often difficult. Cervix is drawn up and vaginal portion of cervix would not be palpable. The most common disorder in differential diagnosis is a prolapsed fibroid. Acute inversion commonly occurs in 3rd stage of labor, and is an acute obstetric emergency. In our case, inversion of uterus occurred in non -puerperal period, in menopausal woman, due to sub mucous fundal fibroid, with acute presentation. Patient was in shock with pyrexia, and successfully managed surgically, after treating infection and shock.


Non-puerperal, Uterine inversion, Sub mucous fundal fibroid

Full Text:



Takano K, Ichikawa Y, Tsunoda H,Nishida M. Uterine inversion caused by uterine sarcoma: a case report. Jpn J Clin Oncol. 2001;31(1):39-42.

Simms-Stewart D, Frederick S, Fletcher H, Char G,Mitchell S. Postmenopausal uterine inversion treated by subtotal hysterectomy. J Obstet Gynaecol. 2008;28(1):116-7.

Rocconi R, Huh WK,Chiang S. Postmenopausal uterine inversion associated with endometrial polyps. Obstet Gynecol. 2003;102(3):521-3.

Eigbefoh JO, Okogbenin SA, Omorogbe F,Mabayoje PS. Chronic uterine inversion secondary to submucous fibroid: a case report. Niger J Clin Pract. 2009;12(1):106-7.

Chen YL, Chen CA, Cheng WF, Huang CY, Chang CY, Lee CN, et al. Submucous myoma induces uterine inversion. Taiwan J Obstet Gynecol. 2006;45(2):159-61.

Haultain FWN. The treatment of chronic uterine inversion by abdominal hysterotomy, with a successful case. Br Med J. 1901:974-6.

Kopal S, Seckin NC,Turhan NO. Acute uterine inversion due to a growing submucous myoma in an elderly woman: case report. Eur J Obstet Gynecol Reprod Biol. 2001;99(1):118-20.