DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191978

Chronic non-puerperal uterine inversion in the absence of risk factors: a rare case report

Rajesh Tile, Supriya Jamkhandi

Abstract


Non puerperal chronic uterine inversion is a rare entity; representing 1/6th of all uterine inversions. Usually precipitated by risk factors like fibroid uterus, endometrial polyp, endometrial malignancies. We present a case of 25 year old P2L2 with irregular vaginal bleeding and pain abdomen, with severe anemia. On per abdomen examination no abnormality detected, per speculum revealed a red friable mass 5*5cms protruding through vagina and per vaginal examination same findings confirmed. A diagnosis of fibroid polyp made initially and planned for polypectomy after correction of anemia. Under spinal aneasthesia diagnosis was changed to uterine inversion. Exploratory laparotomy done, which revealed characteristic flower pot appearance. Inversion was corrected by Haultens method, where in posteriorly incision was given to cut the tight cervical ring, and uterus was repositioned back to normal anatomic positon. Bilateral tubal sterilization was done as per patients request. Post operative period was uneventful and she was discharged in stable condition. Thus chronic non puerperal uterine inversion can be difficult to diagnose in the absence of risk factors.


Keywords


Haultens method, Uterine inversion

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References


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):1-2.

Pieh-Holder KL, Bell H, Hall T, DeVente JE. Postpartum prolapsed leiomyoma with uterine inversion managed by vaginal hysterectomy. Case Rep Obstet Gynecol. 2014;2014:4351014.

Shabbir S, Ghayasuddin M, Younus SM, Baloch K. Chronic non puerperal uterine inversion secondary to sub-mucosal fibroid. J Pak Med Assoc. 2014;64(5):586-8.

De Vries M, Perquin DAM. Non-puerperal uterine inversion due to submucous myoma in a young woman: a case report. J Med Case Reports. 2010;4:21.

Krenning RA. Nonpuerperal uterine inversion. Review of literature. Clin Exp Obstet Gynecol. 1982;9:12-5.

Spinelli PG. Inversion of the uterus. Riv Ginec Comtemp. 1897;11:567-70.

Fofie C, Baffoe P. Non puerperal uterine inversion: A case report. Ghana Med J. 2010;44:79-81.

Lewin JS, Bryan PJ. MR imaging of uterine inversion. J Comput Assist Tomogr. 1989;13:357-9.

Anitha GS, Manjulatha VR, Ramaiah R. Non-puerperal uterine inversion: a case report. Int J Reprod Contracept Obstet Gynecol. 2015;4:1223-6.

Zechmeister JR, Levey KA. Successful robotically assisted laparoscopic correction of chronic uterine inversion. J Minim Invasive Gynecol. 2011;18(5):671-3.