Related Experiment Video
Updated: Apr 2, 2026
Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Reproductive preservation in non-puerperal uterine inversion from adenomyoma: a case report
Zhen-Xuan Zhu1, Chang-Zhu Pei1, Ming Li1
1Department of Gynecology, Lianyungang Maternal and Child Health Hospital, Lianyungang, 222000, Jiangsu, China.
Background:
Non-puerperal uterine inversion (NPUI) occurs extremely rarely and is typically associated with uterine tumors, but cases of NPUI arising from polypoid adenomyoma are even less common. The non-specific presentation of NPUI often leads to delayed diagnosis, and existing fertility-preserving surgeries lack tailoring to polypoid adenomyoma's features.
Case Presentation:
A 32-year-old nulliparous Asian woman presented with heavy menstrual bleeding, a prolapsing vaginal mass, and severe anemia (Hemoglobin 32 g/L). Magnetic resonance imaging confirmed NPUI. Surgical management involved vaginal traction for precise lesion localization, Haultain's procedure for uterine repositioning, and layered suturing for repair. Histopathology identified a polypoid adenomyoma. Follow-up demonstrated resolution of symptoms and return to normal menstruation.
Conclusion:
This optimized surgical strategy provides replicable details and references for the fertility-preserving management of rare NPUI.
