Puerperal uterine inversion associated with unicornuate uterus

Area of Science:

• Reproductive Medicine
• Surgical Gynecology
• Congenital Anomalies

Background:

• Puerperal uterine inversion is a rare but serious obstetric emergency.
• Prompt diagnosis and management are crucial for patient outcomes.
• Conservative methods are often the first line of treatment.

Observation:

• A 20-year-old patient presented with acute puerperal uterine inversion.
• Initial attempts at manual reposition and the O'Sullivan technique were unsuccessful.
• The patient initially declined further intervention.

Findings:

• The patient later presented with chronic puerperal uterine inversion.
• A Haultain operation was performed for correction.
• Intraoperative findings revealed a unicornuate uterus and the absence of the right kidney and ureter.

Implications:

• This case highlights the importance of considering rare anatomical variations in managing uterine inversion.
• It underscores the potential for delayed diagnosis and the need for surgical intervention in complex cases.
• The co-occurrence of uterine and renal anomalies warrants further investigation into potential developmental links.