Inversion of the Uterus Due to Submucous Fibroid

Riterband, S. H.; Colquhoun, S. P.

doi:10.1111/j.1471-0528.1959.tb01967.x

Cited by 2 publications

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“…Avicenna (980-1037 A D ) gave an excellent description of uterine inversion and prolapse. Hippocrates (46(M70 BC) also recognized inversion, but it is chiefly since the time of Amhroise Park (16th century) that inversion has been recognized and understood (Das 1940;Riterband & Colquhoun 1960;Pride & Shaffer 1977). Most previous reported cases of inversion were puerperal and, although treatment was primitive, some patients did survive.…”

Section: Discussionmentioning

confidence: 99%

“…With sarcoma the area of the uterine wall weakened by the growth is believed to prolapse into the cavity and thus be brought under the influence of the active musculature. With submucous polypi the uterine wall at the site of attachment is from the first drawn in by the activity of the remainder of the body of the uterus (Williams 1900;Riterband & Colquhoun 1960;Lascarides & Cohen 1968).…”

Section: Case Reportmentioning

confidence: 99%

“…Non-puerperal or gynaecological inversion is extremely rare and no estimate of its incidence occurs in the literature. It happens chiefly when the uterus acts to expel a submucous fibromyonia with fundal attachment, but cndometrial carcinoma and sarcoma and the mixed mesodermal tumours may have the same effect (Williams 1900;Das 1940;Reich & Nechtow 1946;Jones 1951;Dyroff & Thomas 1955;Nelson & Sites 1956;Riterband & Colquhoun 1960;Sitaratna & Sarma 1962;Ashmore & Attapattu 1975;Pride & Shaffer 1977;Holzer 1979;Sinha & Quadros 1979). Complications develop making surgical treatment particularly difficult.…”

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Non‐puerperal uterine inversion. Case report

Krenning

Dörr

Groot

et al. 1982

BJOG

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

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confidence: 99%

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Non‐puerperal uterine inversion. Case report

Krenning

Dörr

Groot

et al. 1982

BJOG

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Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?

Herath

Patabendige²,

Rashid

et al. 2020

Obstetrics and Gynecology International

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Introduction. Nonpuerperal uterine inversion (NPUI) is a rare clinical problem with diagnostic and surgical challenges. The objective of our study was to review the literature on NPUI and describe causative pathologies, diagnosis, and different surgical options available for treatment. Materials and Methods. A comprehensive literature review was carried out on MEDLINE and Google Scholar databases to look for NPUI using the term “non-puerperal uterine inversion,” and further went through the cross-references of the published articles. Data are published case reports from 1911 to September 2018. Of the 153 published cases, 133 reports had adequate details of surgery for analysis. These reports were analyzed, concerning the clinical presentation, methods of diagnosis, and surgical treatment. Results. Mean age of the women was 46.3 years (standard deviation: 18, N = 153). Leiomyoma remained the commonest (56.2%) aetiology. While malignancies contributed to 32.02% of cases, 9.2% were idiopathic. High degree of clinical suspicion and identification of unique features on ultrasonography and magnetic resonance imaging enable prompt diagnosis. In cases of uncertainty, laparoscopy or biopsy of the mass was used to confirm the diagnosis. Hysterectomy or repositioning and repair of the uterus are the only treatment options available. The surgical methods implemented were analyzed in three aspects: route of surgical access, method of repositioning, and final surgical procedure undertaken. The majority (48.8%) had only abdominal access, while 27.1% had both abdominal and vaginal access. Haultain procedure was the most useful procedure for reposition (18.0%) of the uterus. The majority (39.7%) required abdominal hysterectomy with or without debulking of the tumour abdominally, while 15.0% had uterine repair after repositioning. We reviewed the different surgical techniques and described and proposed a treatment algorithm. Conclusions. Fibroids were the commonest cause for NPUI. Malignancies accounted for one-third of cases. A combined abdominal and vaginal approach, followed by hysterectomy or repair after repositioning, seems to be better for nonmalignant cases.

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Inversion of the Uterus Due to Submucous Fibroid

Cited by 2 publications

References 2 publications

Non‐puerperal uterine inversion. Case report

Non‐puerperal uterine inversion. Case report

Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?

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