Non-puerperal uterine inversion: a case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20150464Keywords:
Uterine inversion, Non-puerperal, Sub-mucous myoma, Spinelli's method, HysterectomyAbstract
Non-puerperal uterine inversion is rare. A 42-year old multiparous woman presented with lower abdominal pain, offensive vaginal discharge, heavy menstrual bleeding and a huge protruding mass per vaginum. Clinical examination revealed an inverted uterus, cervix and vagina with a large submucosal fundal fibroid. A diagnosis of non-puerperal uterine inversion and severe anaemia was made. After anaemia correction by blood component transfusion, she successfully underwent vaginal correction followed immediately by hysterectomy by abdominal route. Post- operative period was uneventful and she was discharged in good condition. Histopathology confirmed the diagnosis of leiomyoma. The aim was to highlight a rare condition of chronic non-puerperal uterine inversion following the extrusion of a benign fundally located submucous uterine myoma. A high index of suspicion is required to make a prompt diagnosis.
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References
Rosales Aujang E, Gonzales Romo R. Non-puerperal uterine inversion. Gynecol obstet Mex. 2005;73:328–31.
Lai FM, Tseng P. Non-puerperal uterine inversion: a case report. Singapore Med J. 1993;34:466–8.
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.
Safdarian L, Aleyassin A, Forootan M, Kamalian N, Ahmadzadeh A. Non puerperal uterine inversion: a case report. Acta Medica Iranica. 2003;41(1):59–61.
Lascarides E, Cohen M. Surgical management of non-puerperal inversion of the uterus. Obstet Gynecol. 1968;32:376–81.
De Vries M, Perquin DAM. Non-puerperal uterine inversion due to submucous myoma in a young woman: a case report. Journal of Medical Case Reports. 2010;4:21.
Krenning RA. Nonpuerperal uterine inversion. Review of literature. Clin Exp Obstet Gynecol. 1982;9:12–5.
Gomez-Lobo V, Burch W, Khanna PC. Non-puerperal uterine inversion associated with an immature teratoma of the uterus in an adolescent. Obstet Gynecol. 2007;110:491–93.
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;97(3):938–41.
Lewin JS, Bryan PJ. MR imaging of uterine inversion. J comput Assist Tomogr. 1989;13:357–59.
Fofie C, Baffoe P. Non puerperal uterine inversion: A case report. Ghana Med J. 2010;44:79–81.
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.
