Acute uterine inversion due to a growing submucous myoma in an elderly woman: case report

Kopal, Şükran; Seçkin, Neslihan Carda; Turhan, Nilgün Öztürk

doi:10.1016/s0301-2115(01)00346-3

Cited by 41 publications

(34 citation statements)

References 8 publications

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“…In our case, acute inversion occurred in post-menopausal woman with fundal fibroid 7 and was associated with secondary infection. The leiomyoma might have exposed to vaginal environment resulting secondary infection with features of systemic infection in the patient.…”

Section: Discussionmentioning

confidence: 59%

Inversion of uterus with sub mucus fundal fibroid with secondary infection and shock: a rare case report

Kumari

Radha

2015

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 59%

Inversion of uterus with sub mucus fundal fibroid with secondary infection and shock: a rare case report

Kumari

Radha

2015

Int J Reprod Contracept Obstet Gynecol

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“…9,10 The diagnosis is said to be difficult and requires high index of suspicion especially when the inversion is partial. 7,11 Lewin et al recommend the use of T2-weighted MRI scans to detect a U-shaped uterine cavity, thickened and inverted uterine fundus on a sagittal image and a 'bulls-eye' configuration on an axial image as indicative signs of uterine inversion. 12 This however, is not readily available in most hospital settings in developing countries.…”

Section: Discussionmentioning

confidence: 99%

“…After dissecting the bladder away and opening the peritoneum, a longitudinal incision towards the fundus was made like Spinell's, then the infundibulopelvic ligaments were clamped as suggested by Kopal to prevent massive trombo-embolic phenomenon. 11 The rest was the standard vaginal hysterectomy procedure.…”

Section: Discussionmentioning

confidence: 99%

Non-puerperal uterine inversion: A case report

Fofie

Baffoe²

2011

Ghana Medical Journal

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“…A constricting ring around the cervix is a convincing clinical finding. The most promising features are inability to palpate the fundus and non-visualization of the cervix separately (5). Acute inversion of the uterus is almost always postpartum and is common, whereas chronic inversion of the uterus is extremely rare.…”

Section: Answermentioning

confidence: 99%

What is your diagnosis?

Sharma¹,

Dey²,

Mittal³

et al. 2015

J Turkish German Gynecol Assoc

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A 40-year-old lady with previous two deliveries by lower segment caesarian section presented with a long history of lower abdominal heaviness and menorrhagia and a mass coming out of vagina recently. There were associated problems in voiding urine. On local examination, a large, elongated, soft, reddish mass, measuring 14×3.8×4 cm, was protruding out of the vagina. A firm whitish mass with a well-demarcated rim was observed at the end of the large reddish mass, measuring 5×5 cm. The entire mass could be incompletely reduced inside the vagina. On genital examination, the cervical rim could not be posteriorly felt. There was ulceration with discharge of pus from the top of the mass, which was sent for culture and sensitivity tests. The culture was positive for Pseudomonas aeruginosa, which was sensitive to levofloxacin. Prolapsed part was reposited back and was restrained using a glycerine acriflavine-soaked vaginal tampon. The patient was put on oral antibiotics with a dressing of the local wound. Healing was achieved in 10 days. An ultrasonography of the pelvis was ordered. Ultrasonography revealed an upside-down uterine fundus, filling in between the cervix making mirror image of normal uterine contour. Outer serosal surfaces were coming in contact together making typical pseudo stripe sign. The uterine fundus was observed between the vaginal walls giving a typical target sign. There was a heterogeneous mass lesion observed at the uterine fundus that probably arised from the submucosa and exhibited heterogeneous internal vascularity. The uterine artery pedicle and ovaries of both the sides were pulled along with the uterine fundus; however, there was no involvement of the urinary bladder (Figure 1 a-d).

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Acute uterine inversion due to a growing submucous myoma in an elderly woman: case report

Cited by 41 publications

References 8 publications

Inversion of uterus with sub mucus fundal fibroid with secondary infection and shock: a rare case report

Inversion of uterus with sub mucus fundal fibroid with secondary infection and shock: a rare case report

Non-puerperal uterine inversion: A case report

What is your diagnosis?

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