Published: 2020-10-27

A rare case of acute non-puerperal uterine inversion due to large leiomyoma in COVID pandemic: challenges in clinical diagnosis and management

Snehal G. Murde, Rohini R. Raut, Beena Kumari, Dinesh C. Hojai


Non puerperal uterine inversion is a very rare clinical scenario with very few gynaecologist actually managing it in their lifetime. Acute variety of non-puerperal inversion is even rarer and thus possess diagnostic and management challenges. Case study of a rare case of a 45 years old female who was admitted for an elective surgery and had sudden acute inversion of uterus which was clinically diagnosed. Patient was managed by debulking of tumour which turned out to be large leiomyoma, followed by total abdominal hysterectomy. Rarity of the disease, atypical symptoms and less clinical exposure to such cases pose diagnostic as well as surgical challenges as in our case.


Acute, Uterine inversion, Non-puerperal

Full Text:



Baskett, Thomas F. Acute uterine inversion: a review of 40 cases. J Obstet Gynaecol. 2002;24(12):953-6.

Rosa Silva B, Meller F, Uggioni ML, Grande AJ, Silva CN, Colonetti T et al. Non-Puerperal Uterine Inversion: A Systematic Review. Gynecol Obstet Invest. 2018;83:428-36.

Jones HW. Non-puerperal inversion of the uterus. Amer J Surg. 1951;81(5):492-5.

Das P. Inversion of the uterus. J Obstet Gynaecol Br Emp. 1940;47:527-48.

Wendel PJ, Cox SM. Emergent obstetric management of uterine inversion. Obstet Gynecol Clin North Am. 1995;22(2):261-74.

Skinner GN, Louden KA. Non-puerperal uterine inversion associated with an atypical leiomyoma. J Obstet Gynaecol. 2001;41(1):100-1.

Song YJ, Yang J, Yun HS, Lee SK, Kim HG, Lee DH et al. Non-puerperal uterine inversion presented with hypovolemic shock. J Menop Med. 2016;22(3):184-7.

Fofie CO, Baffoe P. Non-puerperal uterine inversion: a case report. Ghana medical journal. 2010;44(2):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.

Shamsudin F, Morton K. Novel correction technique of chronic puerperal inversion of the uterus. J Obstet Gynaecol. 2007;27(2):197-8.

Shivanagappa M, Bhandiwad A, Mahesh M. A case of acute on chronic uterine inversion with fibroid polyp. J Clin Diagn Res. 2013;7(11):2587-88.