Inversion utérine puerpérale aiguë : à propos de deux cas

Puerperal uterine inversion managed by the uterine balloon tamponade

“…Literature data recommends first a manual reduction by simply reversing taxis which consists to push the fundus in order to replace it or the Johnson's method which consists of a pressure on the vaginal cul-de-sac by vaginal fingers and the bottom by the palm of the hand. [ 1 ] In case of failure of the manual repositioning, other methods are described: - hydrostatic methods which consist in filling the vagina with saline in sealing the vagina either manually (O′Sullivan) or by using a suction cup (Ogueh) [ 1 , 3 , 5 ] - the uterine packing [ 3 ] - surgical correction by high way by the Huntington technique or Haultain or vaginally with the technique of Spinelli [ 1 ] - hysterectomy hemostasis remains the gold standard in case of persistent bleeding but is exceptionnel [ 6 ]. More recently the use of balloons such as Rusch or Bakri have been described in the literature as the re-inversion prevention method within two hours following initial reintegration [ 4 , 7 – 10 ].…”

Inversion utérine: à propos d’un cas

“…Complication obstétricale exceptionnelle, qui engage le pronostic vital de la patiente [ 1 ]. C'est une grande urgence dont la morbidité et la mortalité dépendent de la précocité du traitement [ 2 , 3 ]. Sa fréquence rapportée dans la littérature varie de 1/2000 à 1/20 000 accouchements.…”