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. 2014;5(8):513-5.
doi: 10.1016/j.ijscr.2013.12.014. Epub 2014 May 21.

Totally inverted cervix due to a huge prolapsed cervical myoma simulating chronic non-puerperal uterine inversion

Nilgun Turhan  1 , Serap Simavli  2 , Ikbal Kaygusuz  3 , Burcu Kasap  4
Affiliations

Totally inverted cervix due to a huge prolapsed cervical myoma simulating chronic non-puerperal uterine inversion

Nilgun Turhan et al. Int J Surg Case Rep. 2014.

Abstract

Introduction: Inversion of the uterus is an extremely rare complication of the non-puerperal period and is commonly caused by benign submucous, especially fundal, leiomyomas. A case of a totally inverted cervix due to a prolapsed huge cervical leiomyoma mimicking chronic non-puerperal uterine inversion in a perimenopausal woman is presented.

Presentation of case: A 52-year-old perimenopausal woman was admitted to our clinic with an ulcerated, necrotic, infected and swollen prolapsed mass. Gynecologic history revealed that she was advised myomectomy because of her cervical myoma 2 years ago but she refused to have an operation as she believed that her positive thoughts would shrink the myoma. Presumed diagnosis before surgery was chronic non-puerperal uterine inversion. An intraoperative diagnosis was totally inverted cervix due to a huge cervical leiomyoma. Vaginal hysterectomy without adnexectomy, was performed.

Conclusion: This is the first case in the literature which a totally inverted cervix due to a prolapsed huge cervical leiomyoma. Cervical fibroids can grow in perimenopausal period and in extremely rare cases can cause total cervical inversion.

Keywords: Cervical inversion; Prolapsed leiomyoma; Uterine inversion; Vaginal hysterectomy.

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Figures

Fig. 1
Fig. 1
Prolapsed necrotic, ulcerated cervical leiomyoma, (a) necrotic mass, (b) inverted cervix’ rugae.
Fig. 2
Fig. 2
Cervical inversion due to prolapsed myomas with normal uterus, (a) uterus, (b) external cervical os, (c) inverted cervix, and (d) leiomyoma.
Fig. 3
Fig. 3
Normal appearance of uterus with prolapsed cervical myoma, (a) normal myometriun and uterine cavity, (b) inverted cervix, and (c) cervical myoma.
See this image and copyright information in PMC

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