Chronic uterine inversion presenting with severe anemia 7 years after a home delivery and the subsequent successful pregnancy: a case report

Abstract

Background Uterine inversion is a clinical condition characterized by the folding of the uterine fundus into the uterine cavity or beyond the cervix. Chronic uterine inversions that manifest seven years after delivery are extremely rare, despite the fact that both acute and chronic uterine inversions are infrequent. Unlike uterine inversion during parturition, which can be promptly managed, chronic uterine inversion poses a diagnostic and management challenge. We, herein, report a patient who was managed and followed at our institution for chronic uterine inversion. Case presentation A 28-year-old African female who was referred to our institution with complaints of secondary infertility for seven years, abnormal vaginal bleeding, and lower abdominal pain for 12 months with a mass-like sensation in the vagina. At presentation, she had pale conjunctiva and a protruded, rubbery mass in the cervix with indistinguishable cervical OS on vaginal examination. The patient was resuscitated with intravenous fluids and three units of blood, after which Haultain’s procedure was performed. After 16 months on a contraceptive, she was able to conceive and deliver a healthy neonate. Conclusion Severe anemia can rarely be a presenting symptom of chronic uterine inversion. Following a surgical procedure for chronic uterus inversion, a successful delivery is possible if thorough follow-up is carried out.

Exploring Non-puerperal Uterine Inversion: A Case Series

“…Surgical intervention becomes imperative in cases where conservative measures are unsuccessful or inappropriate. Hysterectomy is the treatment of choice for non-puerperal uterine inversion, except in women who desire fertility-sparing [ 6 , 7 ]. The different surgical approaches are highlighted in Table 1 [ 8 , 9 ].…”