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Related Experiment Videos

Delayed uterine re-inversion: a unique symptom complex.

David F Silver1, Peter S Heyl, Jennifer B Linfert

  • 1Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, USA. silverdf@evms.edu

American Journal of Obstetrics and Gynecology
|August 6, 2004
PubMed
Summary

A rare case of uterine inversion recurrence presented with constipation and urinary retention. Prompt uterine replacement resolved symptoms, suggesting pelvic nerve injury as the cause.

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Area of Science:

  • Obstetrics and Gynecology
  • Urogynecology

Background:

  • Uterine inversion is a rare obstetric emergency where the uterus is inverted inside out.
  • Late recurrence of uterine inversion is exceptionally uncommon, posing diagnostic challenges.

Observation:

  • A patient presented with symptoms of constipation and urinary retention, notably without uterine bleeding.
  • These symptoms emerged significantly after the initial event and resolution of the primary uterine inversion.

Findings:

  • Uterine replacement led to complete resolution of constipation and urinary retention within three months.
  • The clinical presentation suggests a potential link between uterine inversion and pelvic parasympathetic nerve dysfunction.

Implications:

Related Experiment Videos

  • Pelvic nerve injury secondary to uterine inversion may manifest as delayed gastrointestinal and urinary symptoms.
  • Early recognition and intervention for uterine inversion are crucial to prevent potential long-term neurological sequelae.