Non-puerperal uterine inversion secondary to uterine sarcoma and ascites demonstrated on CT and MRI

Uterine inversion in a postmenopausal woman due to a twisted pediculated endometrial polyp with concomitant uterine torsion

“…The majority of published articles have been interested in puerperal uterine inversion, which is estimated to have an incidence of between 1 in 3,500 and 1 in 30,000 vaginal deliveries [1,2] and of 1 in 1,860 caesarian sections [3]. Overall one in six uterine inversions is non-puerperal [4].…”

“…Pediculated uterine masses can pull the fundal uterine part, creating different degrees of uterine inversion that clinically or radiologically [3] are staged as: (1) incomplete-the uterine fundus does not extend below the internal os, (2) complete-the uterine fundus extends through the external os and (3) total-the vagina itself becomes inverted due to the uterine fundus protruding through the external os and vagina [7]. The inversion of the uterus may be encouraged by increased abdominal pressure from coughing, sneezing or straining [4] and the weight from the pediculated mass [7].…”

“…Depending on the degree of inversion and the causing factor, a variety of symptoms are described prior to and during uterine inversion such as uterine bleeding, vaginal discharge, a protruded mass, difficulty emptying the bladder and severe pelvic pain [4,7]. When polyps are protruded from the cervix, they can provoke acute pain with spontaneous cervical dilatation which is very distressing for the patient [4].…”

Hysterectomy for Uterine Inversion: About Two Cases at University Hospital of Cocody (Abidjan—Ivory Coast)

“…Laparoscopy and vaginal association seems to be a good alternative, to confirm the diagnosis, to assess the degree of ischemia of the annexes and the vagina, and hemostasis surgical of the uterus by laparoscopy by controlling the uterine pedicle from her origin [26] [27]. In general, the prognosis of uterine inversion is related to the precocity of diagnosis.…”

“…In the complete IUNP through abdominal hysterectomy was once the intervention of reference. Teams practice more in addition to vaginal hysterectomies [26]. Indeed, after a careful repositioning of the uterus in its anatomical position, a vaginal hysterectomy ends the procedure.…”