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Chronic nonpuerperal uterine inversion and necrosis: a case report
Charlie C Kilpatrick1, Lubna Chohan, Robert C Maier
1UTHealth, Department of Obstetrics and Gynecology, Lyndon Baines Johnson Hospital, 5656 Kelley Street, Houston, TX 77026, USA. charles.c.kilpatrick@uth.tmc.edu.
Journal of Medical Case Reports
|November 27, 2010
Summary
Chronic nonpuerperal uterine inversion is a rare condition. Surgical intervention, often including hysterectomy, may be necessary for treatment.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Uterine inversion, particularly in non-pregnant states, is an uncommon gynecological emergency.
- Presents as a vaginal mass, often mistaken for prolapse or a large fibroid.
Purpose of the Study:
- To report a case of chronic nonpuerperal uterine inversion.
- To discuss diagnostic and management challenges.
Main Methods:
- Case presentation of a 56-year-old woman with vaginal mass.
- Surgical management including vaginal myomectomy, abdominal hysterectomy, and bilateral salpingo-oophorectomy.
- Intraoperative diagnosis of uterine inversion during laparotomy.
Main Results:
- Pathologic examination revealed a necrotic fibroid and endometrium.
- Intraoperative finding of a 3 cm dimple indicating uterine inversion.
Conclusions:
- Chronic nonpuerperal uterine inversion requires prompt diagnosis and surgical management.
- Broad-spectrum antibiotics are crucial due to suspected infection.
- Abdominal hysterectomy may be necessary, with careful attention to urinary tract anatomy.