Chronic non puerperal uterine inversion due to submucosal fibroid: a rare case report

Shirish Dulewad, Chitikala Haritha


Chronic uterine inversion is a very rare and often difficult to distinguish between uterovaginal prolapse, submucous fibroid and cervical fibroid. Its diagnosis is based on high index of suspicion. A 50-year-old Para-3Live-3 tubectomised postmenopausal women with k/c/o psychiatric illness, resident R/0 Jambhrun, Mudhkhed came to our hospital with a complaint of irreducible mass protruding per vaginum since 2-3 months duration Subsequently vaginal hysterectomy has been done. The certainty of diagnosis of inverted uterus reached intraoperatively. Gross examination of cut uterus showed fundally located sub-mucous fibroid and specimen sent for histo-pathological report. Non puerperal chronic inversion of uterus is rare condition occurring in approximately 17% of all uterine inversions and most uterine inversions are acute and puerperal. Its incidence is 1/30,000 deliveries and is considered a serious complication of child birth. Most common factor causing inversion -> prolapse and extrusion of fibroids1 especially submucous myoma of fundus (80-85%). Its diagnosis should be considered at any age in post-menopausal period. Superinfection of the infected part should be suspected and treated with appropriate broad-spectrum antibiotics before the surgery.


Certainity of diagnosis intraoperatively, Chronic non puerperal uterine inversion, Hysterectomy, Submucosal fibroid

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

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

Salameh AE, Aljaberi LM, Almarzooqi RM, Khloof DR, Ras SA, Tabanja R. Non-puerperal uterine inversion associated with adenosarcoma of the uterus: a case report. Case Reports Women's Health. 2019;22:e00107.

Krenning RA, Dörr PJ, De Groot WH, De Goey WB. Non‐puerperal uterine inversion. Case report. Int J Obstet Gynaecol. 1982;89(3):247-9.

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

Kilpatrick CC, Chohan L, Maier RC. Chronic nonpuerperal uterine inversion and necrosis: a case report. J Med Case Reports. 2010;4(1):381.

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