An Unusual Case of Nonpuerperal Uterine Inversion Managed by a Novel Vaginal Hysterectomy Technique

Abstract

Abstract

Background: Inversion of the uterus is a rare clinical problem. It is encountered as an obstetric emergency and as a diagnostic challenge in gynecology. Nonpuerperal inversion usually results from a tumor that occurs on the fundus of the uterus. Treatment depends on the associated pathology and the stage of the inversion. Case: A rare case of nonpuerperal uterine inversion caused by a small benign submucous fibroid polyp in a 56-year-old woman is reported. After removing the myoma, a vaginal subtotal hysterectomy was performed using a novel technique that had not been reported in the literature until the current report. Results: The patient's recovery was uneventful and she was healthy when she returned for follow-up visits. Conclusions: This novel technique of vaginal subtotal hysterectomy was used for a patient with a nonpuerperal uterus. The technique is easy to perform, requires less time and less anesthesia. This technique would be useful for almost all cases of inversion of the uterus, even in acute and subacute cases when a hysterectomy is required. The exception is when a malignancy is involved. (J GYNECOL SURG 30:44)