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Acute uterine inversion following an induced abortion
Alim Swarray-Deen1, Nana E Oduro2, Teresa A Mensah2
1Department of Obstetrics & Gynaecology, University of Ghana Medical School, Accra, Ghana.
The Journal of Obstetrics and Gynaecology Research
|January 20, 2023
Summary
Acute uterine inversion following mid-trimester abortion is rare. Manual uterine replacement via laparotomy successfully treated a case of complete inversion and shock after failed non-operative attempts.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Acute uterine inversion is a rare but severe obstetric emergency.
- Uterine inversion after mid-trimester abortion is exceptionally uncommon.
Observation:
- A 32-year-old woman experienced complete acute uterine inversion and hemorrhagic shock.
- This complication occurred following an incomplete medical abortion at 14 weeks gestation.
Findings:
- Non-operative methods to correct the uterine inversion were unsuccessful.
- Manual uterine replacement through laparotomy, without cervical incision or instruments, was performed.
Implications:
- Laparotomic manual replacement offers a successful treatment alternative for acute uterine inversion.
- This approach minimized potential trauma and scarring, reducing morbidity.
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