Non-Puerperal Uterine Inversion

Leconte, Isabelle; Thierry, C.; Bongiorno, Antony; Luyckx, Mathieu; Fellah, Latifa

doi:10.5334/jbr-btr.974

Cited by 13 publications

(3 citation statements)

References 19 publications

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“…The non-puerperal type is mainly associated with uterine tumours located at the uterine fundus, which force the fundus to invert into the uterine cavity. It has been reported that the majority of the cases in the literature were associated with benign tumours of the uterus, mainly leiomyomas [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Non-puerperal uterine inversion associated with adenosarcoma of the uterus: A case report

Salameh¹,

AlJaberi

AlMarzooqi

et al. 2019

Case Reports in Women's Health

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IntroductionUterine inversion is an uncommon condition characterized by the invagination of the fundus of the uterus through the vagina and is extremely rare in non-pregnancy settings. Non-puerperal uterine inversion is usually precipitated by tumours exerting traction force on the fundus of the uterus, turning the uterus partially or completely inside out. It is most frequently associated with benign tumours such as submucosal leiomyomas; however, malignant tumours are a rare association.Case PresentationA 67-year-old woman, G18P18, presented to the emergency department with a bleeding mass that had acutely prolapsed out of the vagina. She had a two-year history of postmenopausal bleeding but had not sought medical advice. She underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy. Pathological evaluation revealed an adenosarcoma of the uterine fundus, measuring 6 cm in its largest diameter, which invaded the myometrium only superficially. The patient recovered well from the operation with no complications and was referred to an oncologist for further treatment. A computerized tomography scan with intravenous contrast showed no evidence of metastasis.ConclusionUterine sarcoma is a malignant tumour of the uterus that typically presents with vaginal bleeding, and rarely as prolapsed uterine inversion. Uterine inversion rarely occurs outside the puerperal setting; however, when it does occur, the possibility of an underlying malignancy should not be neglected.

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Section: Discussionmentioning

confidence: 99%

Non-puerperal uterine inversion associated with adenosarcoma of the uterus: A case report

Salameh¹,

AlJaberi

AlMarzooqi

et al. 2019

Case Reports in Women's Health

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“…Uterine inversion can be divided into two major types: puerperal and nonpuerperal, with the latter accounting for 17% of all uterine inversion cases. 1 The average age of patients with uterine inversion is 46.3 years, and affected patients often complain of abdominal pain and irregular bleeding. 2 The majority of cases are caused by uterine myoma, with rare cases due to malignant uterine cancer or sarcoma.…”

Section: Introductionmentioning

confidence: 99%

“… 2 The majority of cases are caused by uterine myoma, with rare cases due to malignant uterine cancer or sarcoma. 1 , 2 Meanwhile, the characteristic magnetic resonance imaging (MRI) findings are a V‐shaped depressed uterine fundus and a tumor showing a bull's‐eye sign in the vaginal cavity. 3 Uterine repositioning on nonpuerperal uterine inversion has risks of uterine perforation and heavy bleeding resulting in severe blood loss.…”

Section: Introductionmentioning

confidence: 99%

Uterine perforation during uterine repositioning on nonpuerperal uterine inversion by delivery of a large fibroid: A case report

Uomoto,

Tokinaga‐Uchiyama,

Kobayashi

et al. 2023

Clinical Case Reports

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Key Clinical MessageTransvaginal uterine restoration of nonpuerperal uterine inversion is difficult; there are risks of heavy bleeding and uterine perforation. In such cases, total hysterectomy and transfusion are inevitable.AbstractA 47‐year‐old woman with profuse genital bleeding, diagnosed with nonpuerperal uterine inversion caused by a uterine fibroma, underwent emergency surgery. Uterine perforation occurred during transvaginal uterine restoration, revealed by laparoscopy. Bleeding persisted and blood transfusion volume increased; therefore, a total hysterectomy was performed for hemostasis.

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The Flower Vase Uterus: A Rare Presentation

Sharma

Sancheti

Somal

et al. 2022

Indian J Gynecol Oncolog

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Non-Puerperal Uterine Inversion

Abstract: We report a case of non-puerperal uterine inversion, illustrating the correlation between MRI and pre-operation macroscopic images.

Cited by 13 publications

References 19 publications

Non-puerperal uterine inversion associated with adenosarcoma of the uterus: A case report

Non-puerperal uterine inversion associated with adenosarcoma of the uterus: A case report

Uterine perforation during uterine repositioning on nonpuerperal uterine inversion by delivery of a large fibroid: A case report

The Flower Vase Uterus: A Rare Presentation

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