Post Abortal Inversion of Uterus. A Unique Case

Abstract

Post Abortal Inversion of Uterus. A Unique CaseSubmit Manuscript | http://medcraveonline.com literature till now. We are reporting a rare case of inversion uterus following abortion. Case Report28 years female P3L3A1 admitted in the department of Obst. & Gynae on 1/2/2017 at GMC Patiala, referred from a district hospital with foul smelling mass protruding out of vagina and severe anaemia. She took self-medication in the form of MTP pill on 5/1/2017 at three and half month POG. . She expelled a small fetus followed by off and on excessive bleeding thereafter for 1 month.a. She had all full term normal vaginal deliveries, hospital conducted with last child birth one and half year back following which she had regular menstrual periods. On arrival to gynae emergency of Govt. Medical College, Patiala, Her general condition was poor. Pallor+++, vitals were PR-100/min BP-116/6, RR-29/min, Spo2-98%, U.O.-800 ml clear.b. P/A-Soft, Non Tender, no mass palpable.c. P/V examination revealed a broad, globular, reddish, purple necrotic mass of 7x7 cm coming out of vulva with very offensive smell. Placenta like tissue got separated during examination. A mass of 5x5 cm was lying in the vagina with cervical rim felt higher up around it. There was no active bleeding from surface.d. P/R fundus of the uterus could not be felt a cup like depression was felt. The provisional diagnosis of inversion uterus following abortion was made and findings were confirmed on EUA. It was complete inversion of uterus (Figure 1 & 2).e. Under cover of antibiotics and blood transfusion, hydrostatic reduction using warm saline was done. Case ReportObstet Gynecol Int J 2017, 6(6): 00228 AbstractInversion of uterus following abortion is rare but fatal complications. If reposition is not done it leads to life threatening hemorrhage and shock. Only 2 cases in literature have occurred so far.. Here we are reporting a rare case of inversion uterus following abortion.