Background: Puerperal uterine inversion is rare. Nonpuerperal uterine inversion occurs even more infrequently. Usually associated with cancerous growths, nonpuerperal uterine inversion often necessitates hysterectomy. Case: This article presents the case of a 37‐year‐old woman with worsening pelvic pain and vaginal discharge, who was found to have a fundal myoma causing complete uterine inversion. Because of her desire for fertility preservation, the surgical approach involved abdominal hysterotomy and myomectomy. Results: Postoperative imaging showed restoration of normal anatomy. Conclusions: The uncommon nonpuerperal uterine inversion often has a chronic presentation, and diagnosis can be aided by a combination of clinical examination and imaging. Careful surgical repair may spare fertility in cases with benign pathology. (J GYNECOL SURG 27:261)
