Background: Nonpuerperal uterine inversion is an extremely rare gynecologic event. The diagnosis can be difficult, and the surgery to correct an inverted uterus is technically challenging. Case: This article reports a case of a 47-year-old Moroccan woman, with no prior gynecologic history, who presented to the emergency department of the Maternal Teaching Hospital, Rabat, in Rabat, Morroco for heavy menstrual bleeding associated with a protruding mass in her vulva. After clinical and sonographic examinations were conducted, the patient was diagnosed with a nonpuerperal uterine inversion. Prompt surgical management provided to control the situation. Results: This patient's postoperative period was uneventful, and she was discharged home on the 4th day after being admitted to the hospital. A final histopathologic examination revealed that she had a benign submucous leiomyoma. Conclusions: A high index of suspicion of uterine inversion should be considered when there is a protruding gynecologic mass from the vulva in a nonpuerperal woman. When this occurs, surgical intervention should be performed immediately. (J GYNECOL SURG 31:299)
Get full access to this article
View all access options for this article.
References
1.
AuberM, DarwishB, LefebureA, NessJ, RomanH. Management of nonpuerperal uterine inversion using a combined laparoscopic and vaginal approach. Am J Obstet Gynecol, 2011; 204:e7.
2.
TuckettJD, YeungA, TimmonsG, HughesT. Non-puerperal uterine inversion secondary to uterine sarcoma and ascites demonstrated on CT and MRI. Eur J Radiol, 2010:e119–e123.
3.
LupovitchA, EnglandER, ChenR. Non-puerperal uterine inversion in association with uterine sarcoma: Case report in a 26-year-old and review of the literature. Gynecol Oncol, 2005; 95:938.
4.
de VriesM, PerquinDA. Non-puerperal uterine inversion due to submucous myoma in a young woman: A case report. J Med Case Rep, 2010; 4:21.
5.
SaxenaR, ShahT, ThirumalappaS, SarangapaniK. Technique of abdominal hysterectomy for non-puerperal uterine inversion. BMJ Case Rep, 2011; 2011:pii.
