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Puerperal inversion of one horn of a bicornuate uterus. A case report
D A Ollendorff1, R J Kelsey, M D Fejgin
1Department of Obstetrics and Gynecology, Northwestern University Medical Center, Chicago, Illinois, USA.
Background:
Acute uterine inversion is a rare (1:2,500-25,000 deliveries) but potentially life-threatening obstetric complication. Uterine malformation can make it difficult to diagnose and treat this emergency.
Case:
Following a normal delivery in a nullipara, laparotomy was required to establish the diagnosis and treat an inversion of one horn of a bicornuate uterus.
Conclusion:
Inversion of one horn of a bicornuate uterus presents a diagnostic dilemma. When physical examination reveals a palpable abdominal "fundus" and a mass protruding through the cervix in a patient who is experiencing uterine hemorrhage, the cause may be inversion of one horn of a bicornuate uterus. Laparotomy may be required for definitive diagnosis and treatment.