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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

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[Acute non-puerperal uterine inversion the third degree].

A Pelissier-Komorek¹, M Lucereau-Barbier, J Diab

¹Service de gynécologie-obstétrique, maternité Alix de Champagne, hôpital Maison Blanche, centre hospitalier universitaire de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France. a.komorek@gmail.com

Gynecologie, Obstetrique & Fertilite

|February 5, 2013

Summary

Acute uterine inversion, a rare obstetric emergency, can occur in non-puerperal women due to uterine masses. Surgical intervention, combining laparoscopic and vaginal approaches, is crucial for managing this life-threatening condition.

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Area of Science:

Gynecology
Obstetrics
Surgical Management

Background:

Uterine inversion is a rare but severe obstetric complication, often leading to significant postpartum hemorrhage.
Non-puerperal uterine inversion is exceptionally uncommon and presents unique diagnostic and management challenges.

Observation:

A 57-year-old woman presented with hemodynamic instability and acute uterine inversion.
The inversion was caused by a complete fundic submucosal myoma, an intracavitary expansive process.

Findings:

The case highlights acute non-puerperal uterine inversion as a medical-surgical emergency.
Successful surgical management was achieved through a combined laparoscopic and vaginal approach.

Implications:

This case underscores the importance of considering uterine inversion in non-puerperal patients with intracavitary masses.
Prompt diagnosis and surgical intervention are vital for improving outcomes in this rare condition.