Subacute puerperal uterine inversion secondary to a large uterine myoma: a case report

Uterine inversion is a life-threatening obstetric emergency characterized by the turning inside out of the uterine fundus into the endometrial cavity or beyond the cervix. Common risk factors include fundal pressure, cord traction, placental disorders, and uterine atony. We report a rare case of subacute puerperal uterine inversion caused by a giant prolapsing submucosal leiomyoma in a 36-year-old woman who presented on postpartum day 19 with fever, abdominal pain, and prolapse of a vaginal mass. Imaging revealed a large submucosal myoma and grade I uterine inversion. Initial manual reduction failed. Successful management was achieved via laparotomy, with myomectomy through a uterine incision, uterine restoration, and intrauterine balloon tamponade.A large submucosal myoma can be a significant risk factor for late puerperal uterine inversion. Timely diagnosis using magnetic resonance imaging and individualized surgical intervention are crucial for successful anatomical correction and fertility preservation.