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Non-puerperal uterine inversion--a case report
Singapore Medical Journal
|October 1, 1993
Summary
A rare case of non-puerperal uterine inversion caused by a large fundal leiomyoma was successfully treated. Surgical intervention, including laparotomy, corrected the inversion and restored normal uterine function.
Area of Science:
- Gynecology
- Surgical Case Reports
Background:
- Non-puerperal uterine inversion is a rare condition.
- Large fundal leiomyomas can precipitate uterine inversion.
Observation:
- A 36-year-old nulliparous woman presented with intractable hemorrhage due to uterine inversion.
- The inversion was caused by a large fundal leiomyoma.
Findings:
- Vaginal myomectomy and attempted cervical transection failed to reduce the inversion.
- Laparotomy was required for successful surgical correction of the uterine inversion.
Implications:
- This case highlights the importance of considering leiomyomas as a cause of uterine inversion.
- Surgical management, potentially involving laparotomy, may be necessary for complex cases.
- Successful correction can restore normal uterine function.