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Non-puerperal uterine inversion associated with endometrial carcinoma--a case report
Hiroyoshi Oguri1, Nagamasa Maeda, Yorito Yamamoto
1Department of Aging and Reproductive Medicine, Kochi Medical School, Kohasu, Okocho, Nankoku, Kochi 783-8505, Japan. ogurih1966@yahoo.co.jp
Background:
Non-puerperal uterine inversion is rare, and a case associated with endometrial carcinoma is even rarer. It is difficult to diagnose the condition preoperatively and most cases are diagnosed at surgery.
Case:
We describe a case of uterine inversion associated with endometrial carcinoma. Initially, the patient was thought to have a cervical adenocarcinoma and treated with chemotherapy; however, a diagnosis of uterine inversion was made with magnetic resonance imaging (MRI) and ultrasonography during pre-surgical chemotherapy. We performed total abdominal hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy.
Conclusion:
MRI and ultrasonography can be extremely useful tools for diagnosing uterine inversion.