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A Non-puerperal Uterine Inversion Due to an Endometrial Polyp
Marta Almeida1, Paula Bettencourt2, Sílvia Couto2
1Obstetrics and Gynecology, Hospital Garcia de Orta, Almada, PRT.
Cureus
|November 26, 2024
Summary
Non-puerperal uterine inversion, a rare condition often linked to fibroids, can occur due to endometrial pathology. This case highlights a two-phase surgical approach for a 76-year-old patient, involving mass excision and hysterectomy.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Non-puerperal uterine inversion is a rare gynecological complication with poorly documented incidence.
- Submucosal fibroids are the most common risk factor, but any endometrial pathology, including malignancy, can precipitate inversion.
Observation:
- A 76-year-old woman presented with non-puerperal uterine inversion due to a prolapsed uterine mass.
- Symptoms included vaginal bleeding, pain, and urinary retention.
Findings:
- Magnetic Resonance Imaging (MRI) confirmed uterine inversion.
- Initial treatment involved vaginal excision of the uterine mass.
- Subsequent abdominal hysterectomy was performed after excluding malignant etiology.
Implications:
- This case underscores the importance of thorough diagnostics and surgical preparedness for non-puerperal uterine inversion.
- Prompt management involving mass removal and hysterectomy can resolve the condition and associated symptoms.
Keywords:
haultain techniquehuntington techniquenon-puerperal uterine inversionpostmenopausal bleedinguterine polypMore Related Videos
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