Uterine inversion with massive uterovaginal prolapse and multiple bladder stones

Area of Science:

• Gynecology
• Urology
• Medical Case Reports

Background:

• Uterine inversion is a rare obstetric emergency, typically associated with childbirth.
• Advanced uterovaginal prolapse involves the descent of the uterus and vagina.
• Bladder calculi (stones) can cause urinary issues but are not commonly linked to uterine prolapse.

Observation:

• A patient presented with symptoms of acute urinary retention.
• Physical examination revealed severe uterovaginal prolapse.
• The patient was diagnosed with non-puerperal uterine inversion and multiple bladder calculi.

Findings:

• This case documents the simultaneous occurrence of non-puerperal uterine inversion, advanced uterovaginal prolapse, and bladder calculi.
• The combination of these conditions resulted in acute urinary retention.
• This presentation is unprecedented in medical literature.

Implications:

• Highlights the importance of considering rare gynecological and urological comorbidities in patients with severe pelvic organ prolapse.
• Suggests a potential, though unproven, link between severe prolapse and the formation or exacerbation of bladder calculi.
• Underscores the need for comprehensive diagnostic evaluation in complex pelvic organ prolapse cases.