Acute Inversion of the Uterus

Uterine Balloon Tamponade Device and Cervical Cerclage to Correct Partial Uterine Inversion during Puerperium; Case Report

“…Classic signs and symptoms are shock that is out of proportion to the blood loss, inability to feel the uterine fundus or dimple at the fundus, mass in the vagina and haemorrhage [7]. The severity of uterine inversion has been classified into four groups: first degree: fundus inverted to the level of cervix; second degree: fundus inverted below the cervix but not to the introitus; third degree: fundus inverted to the introitus; and fourth degree: complete uterine inversion associated with vaginal inversion [8]. Non-surgical management includes immediate replacement with the palm of the hand (Johnson manoeuvre) [9] and O'Sullivan's hydrostatic technique [8].…”

“…The severity of uterine inversion has been classified into four groups: first degree: fundus inverted to the level of cervix; second degree: fundus inverted below the cervix but not to the introitus; third degree: fundus inverted to the introitus; and fourth degree: complete uterine inversion associated with vaginal inversion [8]. Non-surgical management includes immediate replacement with the palm of the hand (Johnson manoeuvre) [9] and O'Sullivan's hydrostatic technique [8]. Surgical management includes laparotomy and correction with Haultain's or Huntingdon's procedure [10].…”

A rare case of subacute uterine inversion managed by Haultain's repair

“…8 The severity of uterine inversion has been be classified into four groups: 1 st degree: fundus inverted to the level of cervix; 2 nd degree: fundus inverted below the cervix but not to the introitus; 3 rd degree: fundus inverted to the introitus; and 4 th degree: complete uterine inversion associated with vaginal inversion. 10 Treatment of acute uterine inversion involves immediate resuscitation, antibiotic therapy and uterine repositioning. Uterine repositioning can be achieved non-surgically by manual repositioning of the uterine fundus or hydrostatic reduction (O'sullivan method).…”

Inversion utérine puerpérale aiguë : à propos de deux cas

“…Dans son premier cas il a utilisé, fermant de la main l'orifice vulvaire, une douche vaginale en préparation d'une tentative de réduction manuelle et à sa surprise l'utérus s'est remis en position normale corrigeant le choc sans aucun autre geste [17]. Dans son second cas il a utilisé intentionnellement la pression hydrostatique et a réussi.…”