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Nonpuerperal uterine inversion caused by an adenosarcoma: A case report.

Cyrine Belghith^1,2, Ghada Abdelmoula^2,3, Mariem Garci^1,2

¹University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.

La Tunisie Medicale

|April 3, 2024

Summary

This summary is machine-generated.

Non-puerperal uterine inversion, though rare, can be caused by malignancy. This case highlights the importance of investigating non-puerperal uterine inversion for potential tumors.

Keywords:

Adenosarcoma Case report Nonpuerperal Uterine Inversion

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Area of Science:

Gynecology
Oncology

Background:

Uterine inversion is rare outside the postpartum period.
Non-puerperal uterine inversion is typically associated with uterine tumors exerting traction on the fundus.
Benign tumors like submucosal leiomyomas are common causes, but malignancy is infrequent.

Observation:

A 35-year-old nulligravida presented with menometrorrhagia and pelvic pain.
Ultrasound revealed an enlarged uterus with a heterogeneous mass.
MRI demonstrated a U-shaped uterine cavity, thickened fundus, and an endometrial infiltrating mass.

Findings:

Intraoperative findings included uterine inversion involving adnexa and a necrotic intracavitary mass.
Pathological examination confirmed the malignancy as Uterine Adenosarcoma.

Implications:

This case underscores that malignant etiologies for non-puerperal uterine inversion should not be overlooked.
Thorough etiological investigation is essential for comprehensive patient care in such rare presentations.