Non-puerperal uterine inversion: a case report

Anitha, G S; Manjulatha, V R; Ramaiah, Renuka

doi:10.18203/2320-1770.ijrcog20150464

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Así también, dismenorrea severa, menorragia y dispareunia. Se ha comunicado shock hipovolémico (8) en un caso de inversión uterina aguda debida a leiomiomatosis uterina; también, retención urinaria aguda que necesitó cateterizacion (9,10) . Las etapas de la inversión uterina (11) son: a) Etapa I, la inversión uterina es intrauterina (incompleta) y el fondo uterino permanece dentro de la cavidad; b) Etapa II, la inversión completa involucra el fondo uterino, el cual protruye a través del cérvix; c) Etapa III, inversión completa, con protrusión del fondo uterino a través de la vulva; y, d) Etapa IV, inversión total, donde la vagina también esta comprometida.…”

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Inversión uterina no puerperal: primer caso reportado en el Perú

Aguilar-Cieza¹,

Castro-Reyna²

2021

Rev peru ginecol obstet.

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La inversión uterina no puerperal es muy rara. Se comunica un caso asociado con leiomiomatosis. Se trató de una multípara de 45 años que manifestó sangrado vaginal grave, dolor pélvico y sensación de cuerpo extraño vaginal. Se diagnosticó mioma uterino en fase abortiva. Se programó para miomectomía con probable histerectomía abdominal y se encontró inversión uterina completa. Este reporte constituye un caso anecdótico de inversión uterina no puerperal, cuyo tratamiento quirúrgico fue exitoso.

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Section: Discussionunclassified

Inversión uterina no puerperal: primer caso reportado en el Perú

Aguilar-Cieza¹,

Castro-Reyna²

2021

Rev peru ginecol obstet.

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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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Non-Puerperal Uterine Inversion: A Systematic Review

Silva¹,

Meller

Uggioni

et al. 2018

Gynecol Obstet Invest

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Background: Non-puerperal uterine inversions are rare. The objective of the study was to investigate the frequency, causes, clinical presentations, and management of published case reports of non-puerperal uterine inversion. Material and Methods: We searched MEDLINE, EMBASE, LILACS, the Cochrane Central Register of Controlled Trials, IBECS, BIOSIS, the Web of Science, SCOPUS, Conference Abstracts, and grey literature (Google scholar; the British Library) for papers published from January 1940 through March 2017. Results: We found a total of 170 case reports. The most common cause was leyomioma (57.2%) followed by sarcoma (13.5%). The definitive treatment of most cases was hysterectomy (86.8%). The median hemoglobin levels were seven, showing the severity of the condition by previous vaginal bleeding. All reported cases had a correct management demonstrated by the prognosis until hospital discharge. All patients were discharged, most of them without serious postoperative events. Cancer cases were referred for proper treatment. Only 2 cases of death were reported in 6 weeks and 3 months, respectively, both cases of cancer in advanced stages. Conclusion: Non-puerperal uterine inversion is rare. There have been 170 cases reports in the literature since 1940.

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Non-puerperal uterine inversion: a case report

Cited by 3 publications

References 4 publications

Inversión uterina no puerperal: primer caso reportado en el Perú

Inversión uterina no puerperal: primer caso reportado en el Perú

Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?

Non-Puerperal Uterine Inversion: A Systematic Review

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