Presentation of acute uterine inversion in the emergency department

A case of acute puerperal uterine inversion is described in a patient who presented to the emergency department after a home birth and a prolonged third stage of labor. The cardinal findings were shock and excessive blood loss. The uterus and attached placenta were protruding from the vagina and the normal cervical landmarks were absent. Emergency management consisted in vigorous fluid resuscitation prior to transfer to the operating room for definitive reversion.