Non‐puerperal uterine inversion. Case report

Krenning, R. A.; Dörr, P. Joep; Groot, W. H. A. M. De; Goey, W. B. K. M. V. De

doi:10.1111/j.1471-0528.1982.tb03625.x

Cited by 38 publications

(39 citation statements)

References 11 publications

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“…The acute is more dramatic and characterised by severe pain and haemorrhage whereas the chronic is insidious and characterised by pelvic discomfort, vaginal discharge, irregular vaginal bleeding and anaemia. 9,10 The diagnosis is said to be difficult and requires high index of suspicion especially when the inversion is partial. 7,11 Lewin et al recommend the use of T2-weighted MRI scans to detect a U-shaped uterine cavity, thickened and inverted uterine fundus on a sagittal image and a 'bulls-eye' configuration on an axial image as indicative signs of uterine inversion.…”

Section: Discussionmentioning

confidence: 99%

Non-puerperal uterine inversion: A case report

Fofie

Baffoe²

2011

Ghana Medical Journal

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Section: Discussionmentioning

confidence: 99%

Non-puerperal uterine inversion: A case report

Fofie

Baffoe²

2011

Ghana Medical Journal

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“…Chronic non-puerperal uterine inversion is generally observed after the age of 40 years, and in addition to large submucous fibroids, rare malignancies, such as rhabdomyosarcoma, endometrial carcinoma, or endometrial polyp, can precede etiologic agents (2). The proposed pathogenesis is thinned out uterine wall in middle-aged patients, giant fundal mass, and gravity with expulsive efforts by uterus (3). By definition, uterine inversion means a descent of the uterine fundus to or through the cervix so that the uterine cavity is anatomically turned inside out (4).…”

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confidence: 99%

What is your diagnosis?

Sharma¹,

Dey²,

Mittal³

et al. 2015

J Turkish German Gynecol Assoc

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A 40-year-old lady with previous two deliveries by lower segment caesarian section presented with a long history of lower abdominal heaviness and menorrhagia and a mass coming out of vagina recently. There were associated problems in voiding urine. On local examination, a large, elongated, soft, reddish mass, measuring 14×3.8×4 cm, was protruding out of the vagina. A firm whitish mass with a well-demarcated rim was observed at the end of the large reddish mass, measuring 5×5 cm. The entire mass could be incompletely reduced inside the vagina. On genital examination, the cervical rim could not be posteriorly felt. There was ulceration with discharge of pus from the top of the mass, which was sent for culture and sensitivity tests. The culture was positive for Pseudomonas aeruginosa, which was sensitive to levofloxacin. Prolapsed part was reposited back and was restrained using a glycerine acriflavine-soaked vaginal tampon. The patient was put on oral antibiotics with a dressing of the local wound. Healing was achieved in 10 days. An ultrasonography of the pelvis was ordered. Ultrasonography revealed an upside-down uterine fundus, filling in between the cervix making mirror image of normal uterine contour. Outer serosal surfaces were coming in contact together making typical pseudo stripe sign. The uterine fundus was observed between the vaginal walls giving a typical target sign. There was a heterogeneous mass lesion observed at the uterine fundus that probably arised from the submucosa and exhibited heterogeneous internal vascularity. The uterine artery pedicle and ovaries of both the sides were pulled along with the uterine fundus; however, there was no involvement of the urinary bladder (Figure 1 a-d).

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“…The acute is more dramatic and characterised by severe pain and haemorrhages whereas the chronic is insidious and characterised by pelvic discomfort, vaginal discharge, irregular vaginal bleeding and anaemia. [1][2] The diagnosis is said to be difficult and requires high index of suspicion especially when the inversion is partial. [3][4] It occurs chiefly when the uterus acts to expel a submucous leiomyomas with fundal attachment.…”

Section: Introductionmentioning

confidence: 99%

“…1 Non-puerperal uterine inversion can also be classified into acute and chronic based on the onset and evolution. The acute is more dramatic and characterised by severe pain and haemorrhages whereas the chronic is insidious and characterised by pelvic discomfort, vaginal discharge, irregular vaginal bleeding and anaemia.…”

Section: Introductionmentioning

confidence: 99%

Acute non puerperal inversion of uterus with large submucous fibroid

Singh

2016

Int J Reprod Contracept Obstet Gynecol

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Non‐puerperal uterine inversion. Case report

Cited by 38 publications

References 11 publications

Non-puerperal uterine inversion: A case report

Non-puerperal uterine inversion: A case report

What is your diagnosis?

Acute non puerperal inversion of uterus with large submucous fibroid

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