Acute inversion of a nonpuerperal uterus-a rare case
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2018, Vol 4, Issue 1
Abstract
Uterine inversion in a non-pregnant uterus is rare condition usually associated with uterine pathology. Its diagnosis is based on high index of suspicion. Surgery is the main modality of treatment with preferred route being abdominal. A 43-year P5L4A1 previously diagnosed with a uterine fibroid presented in emergency with heavy bleeding P/V. On examination a globular mass 8* 10 cm filling the vagina was seen and uterus was not palpated on P/V and P/R examination. MRI revealed features of inversion secondary to prolapsed fibroid polyp. Diagnosis of uterine inversion was confirmed intra operatively and abdominal hysterectomy was performed after haultain’ sprocedure. Postoperative period was uneventful. Diagnosis of uterine inversion requires high index of suspicion and should be looked for and ruled out in a patient previously diagnosed with uterine pathology more so a uterine fibroid. Surgery is the main modality of treatment with preferred route being abdominal. Delineating the ureters via imaging modalities or through preoperative ureteric stenting is prudent to minimize urinary tract injury.
Authors and Affiliations
Nalini Sharma, Aisha Khan Dina, Jethani Roma, Ahanthem Santa Singh
Keywords
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- EP ID EP342499
- DOI 10.17511/jobg.2018.i1.04
- Views 174
- Downloads 0
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