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Incomplete Nonpuerperal Uterine Inversion in an Adolescent Girl: A Case Report
Shaojie Zhao1, Hua Yuan1, Xinkai Zhao1
1Department of Gynaecology, Wuxi Maternity and Child Health Care Hospital, Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, Jiangsu, China.
Background:
Nonpuerperal uterine inversion (NPUI) is particularly rare and presents a significant diagnostic challenge. This case report describes the youngest case of incomplete NPUI, noteworthy due to the unidentified factor that triggered the uterine inversion.
Case:
This case report presents a retrospective analysis of a 19-year-old female patient diagnosed with incomplete uterine inversion, the main symptoms of which were vaginal bleeding, abdominal pain. Following hemostasis and broad spectrum antibiotics, the diagnosis of NPUI was confirmed through physical examination and supplementary examinations (ultrasonography and magnetic resonance imaging (MRI)). Surgical intervention involved transvaginal manual reduction, balloon hysteropexy and bilateral round ligament shortening via single-port laparoscopy.
Summary And Conclusion:
The multidisciplinary treatment approach employed in this case offers a novel therapeutic perspective for the treatment and management of NPUI. This report emphasizes the importance of accurate diagnosis and customized treatment strategies for NPUI.
