Magnetic Resonance Imaging of Non-Puerperal Complete Uterine Inversion

Mihmanlı, Veli; Kılıç, Fahrettin; Pul, Soner; Kilinc, Aydin; Kılıçkaya, Ahmet

doi:10.5812/iranjradiol.9878v2

Cited by 20 publications

(12 citation statements)

References 8 publications

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“…MRI is useful not only in diagnosis of uterine inversion but also to characterise the uterine mass. Characteristic features of MRI include "U"-shaped uterine cavity, thickened and inverted uterine fundus on sagittal section and "bull's eye" configuration on an axial image [7,8]. In our case, however, owing to the size of the tumour and the presence of necrotic features, the possibility of a leiomyosarcoma could not be excluded.…”

Section: Discussionmentioning

confidence: 60%

Uterine Inversion Secondary to a Large Prolapsed Leiomyoma: Diagnostic and Management Challenges

Martin

Tranoulis

Sayasneh

2020

Cureus

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Uterine inversion is characterised by the collapse of the fundus into the uterine cavity. Nonpuerperal uterine inversion is an extremely rare entity, with less than 200 reported cases thus far. In light of the non-specific presentation, its diagnosis is challenging. Furthermore, in case of malignancy suspicion associated with its presentation, the management should be guided by the recommendations of a central multidisciplinary team. Here, we present the case of a 47year-old, para 1 woman presented in the emergency department with hypovolaemic shock secondary to menorrhagia as well as urinary retention. MRI scan revealed uterine enlargement and a heterogeneous mass protruding into the vagina. The findings were in keeping with a large prolapsed leiomyoma causing uterine inversion and acute bilateral hydronephrosis; yet, the possibility of uterine leiomyosarcoma could not be excluded. The patient underwent urgent total abdominal hysterectomy, bilateral salpingo-oophorectomy and omental biopsy to alleviate pressure. A 20-cm pelvic mass filling the vagina was found, which was reported to be a pedunculated uterine leiomyoma with no evidence of malignancy. Surgical management led to a positive outcome with no post-surgical complications.

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Section: Discussionmentioning

confidence: 60%

Uterine Inversion Secondary to a Large Prolapsed Leiomyoma: Diagnostic and Management Challenges

Martin

Tranoulis

Sayasneh

2020

Cureus

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“…Non-puerperal uterine inversion occurs less frequently in postmenopausal women and its pathophysiology is associated with the traction effect of lesions in benign masses 2,6 .…”

Section: Discussionmentioning

confidence: 99%

“…In general terms, uterine inversions are divided into two groups: those of puerperal origin and non-puerperal inversions [1][2][3] . As a rule, most cases published to date report puerperal uterine inversion as more frequent and common [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Non-puerperal uterine inversion associated with myomatosis

Vieira

Santos

Júnior

et al. 2019

Rev. Assoc. Med. Bras.

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SUMMARY Uterine inversion is an uncommon complication of the puerperium and it is an even rarer complication of the non-puerperal period. In this way, uterine inversions are classified into two groups, being of puerperal origin due to obstetric problems and non-puerperal origin due to gynecological problems. In general, a non-puerperal uterine inversion occurs as a possible complication of a sub mucosal leiomyoma, after an expansive process, a dilation of the cervix occurs and thus its protuberance over the vaginal canal.

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“…MRI is the most performant examination to put diagnostic of NPIU and to make the differential diagnosis. 10,11 In our context of work, imaging exams are not available in emergency situations. Like for other authors, the diagnosis of NPUI is based on high index of suspicion.…”

Section: Discussionmentioning

confidence: 99%

Acute non-puerperal uterine inversion: a case report in Madagascar

Rakotomboahangy

Rabarikoto

Ratsiatosika³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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The acute non-puerperal uterine inversion is a rare gynecologic complication. It is a medical-surgical emergency. We report the case of a 46-years-old Malagasy woman who is admitted at emergency room with vaginal painful mass and vaginal heavy bleeding. Uterine inversion which is due to a fundic submucosal myoma was found on clinical examination. The management was surgical and done by an abdominal hysterectomy.

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Magnetic Resonance Imaging of Non-Puerperal Complete Uterine Inversion

Cited by 20 publications

References 8 publications

Uterine Inversion Secondary to a Large Prolapsed Leiomyoma: Diagnostic and Management Challenges

Uterine Inversion Secondary to a Large Prolapsed Leiomyoma: Diagnostic and Management Challenges

Non-puerperal uterine inversion associated with myomatosis

Acute non-puerperal uterine inversion: a case report in Madagascar

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