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Non-puerperal uterine inversion in a young woman: a case report
A Kouamé1, S V Koffi1, R Adjoby1
1Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
Journal of the West African College of Surgeons
|November 11, 2016
Summary
Uterine inversion, a rare non-childbirth complication, can be caused by submucosal uterine leiomyoma. This case report details a successful surgical management of uterine inversion in a young woman.
Area of Science:
- Gynecology
- Reproductive Medicine
- Surgical Pathology
Background:
- Uterine inversion is a rare complication occurring outside of childbirth.
- Submucosal uterine leiomyomas are a common cause, typically seen in women over 45.
- This case presents an unusual occurrence in a younger patient.
Observation:
- A 28-year-old woman presented with a vulvar mass, pelvic pain, and bleeding, unresponsive to conservative treatment.
- Clinical examination suggested uterine inversion secondary to a fundal uterine mass.
- The mass was identified as a submucosal uterine leiomyoma.
Findings:
- The patient underwent a combined vaginal and abdominal hysterectomy for excision of the uterus and leiomyoma.
- Histopathology confirmed the diagnosis of submucosal uterine leiomyoma.
- The patient experienced a full recovery with no complaints at 12-month follow-up.
Implications:
- This case highlights uterine leiomyoma as a cause of non-puerperal uterine inversion, even in young women.
- A combined surgical approach can be effective for managing complex cases of uterine inversion.
- Early diagnosis and surgical intervention are crucial for successful outcomes in uterine inversion.
