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Published on: January 17, 2019
[Non-puerperal uterine inversion. Report of a case]
Enrique Rosales Aujang1, Rubén González Romo
1Hospital General de Zona núm. 2, IMSS. Aguascalientes, Ags.
Ginecologia Y Obstetricia De Mexico
|November 29, 2005
Summary
Non-puerperal uterine inversion, a rare condition, can be associated with uterine fibroids (leiomyoma). This case highlights successful surgical management for a 46-year-old woman experiencing severe symptoms.
Area of Science:
- Gynecology
- Reproductive Medicine
- Surgical Case Reports
Background:
- Non-puerperal uterine inversion is an exceptionally rare obstetric and gynecologic emergency.
- Uterine inversion, typically occurring postpartum, is seldom seen outside of childbirth.
- Association with uterine leiomyoma (fibroids) is an infrequent but documented cause.
Observation:
- A 46-year-old multiparous woman presented with severe vaginal bleeding, pelvic pain, and a sensation of a mass in the vagina.
- Initial diagnosis suggested a uterine myoma in an abortive phase.
- Physical examination revealed findings consistent with uterine inversion.
Findings:
- Surgical exploration, specifically an abdominal hysterectomy, confirmed a complete non-puerperal uterine inversion.
- The uterine inversion was found to be associated with a uterine leiomyoma.
- The patient's severe symptoms were attributed to the uterine inversion and associated fibroid.
Implications:
- This case underscores the importance of considering uterine inversion in the differential diagnosis of acute gynecologic symptoms, even in non-puerperal states.
- Surgical intervention, such as hysterectomy, can be a successful treatment for non-puerperal uterine inversion.
- Uterine leiomyomas may play a role in the etiology of non-puerperal uterine inversion, necessitating thorough investigation.
