Acute postpartum uterine inversion: a case report

The case described is that of an African 24 year old and Para 2. She had a normal vaginal delivery at a local clinic and sustained an acute uterine inversion and postpartum haemorrhage. Resuscitative measures were done and she was referred to the central hospital. At the central hospital and under general anaesthesia attempts to manually replace the uterus were unsuccessful. The uterine inversion was successfully corrected at laparotomy after which an area of gangrene and perforation was noted on the uterine fundus. A decision to perform total abdominal hysterectomy was taken. The patient had an uneventful post-operative recovery. A discussion of acute postpartum uterine inversion is presented.