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Non-puerperal Uterine Inversion Presented with Hypovolemic Shock.
Yong Jung Song1, Juseok Yang1, Hyun Sil Yun1
1Department of Obstetrics and Gynecology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
Journal of Menopausal Medicine
|January 26, 2017
Summary
A rare case of uterine inversion in a nulliparous woman caused by a large submucosal fibroid led to cardiopulmonary arrest. Successful myomectomy preserved fertility, highlighting the need for awareness and uterus-preserving options.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Non-puerperal uterine inversion is a rare obstetric emergency.
- Submucosal fibroids can cause significant gynecological issues, including bleeding and inversion.
Observation:
- A 42-year-old nulliparous woman presented with massive vaginal bleeding and cardiopulmonary arrest due to uterine inversion.
- The inversion was caused by a large, pedunculated submucosal fibroid with degeneration and abscess formation.
Findings:
- The patient survived cardiopulmonary resuscitation and underwent successful myomectomy, preserving future fertility.
- Histopathology confirmed a benign submucosal fibroid with degenerative changes and abscess.
Implications:
- Clinicians must consider uterine inversion in cases of large protruding vaginal masses, even in nulliparous women.
- Uterus-preserving surgery, such as myomectomy, should be considered for women desiring future fertility.
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