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Case Reports
. 2015 Jul-Sep;5(3):78-83.

Non-puerperal uterine inversion in a young woman: a case report

A Kouamé  1 , S V Koffi  1 , R Adjoby  1 , F A Diomandé  1 , D Effoh  1 , C Oussou  1 , F Kouakou  1
Affiliations
Case Reports

Non-puerperal uterine inversion in a young woman: a case report

A Kouamé et al. J West Afr Coll Surg. 2015 Jul-Sep.

Abstract

Background: Uterine inversion is an uncommon complication in the non-puerperal period. Submucosal myoma is more frequently involved usually among women above 45 years old.

Case presentation: A 28 year-old patient was admitted to the gynaecology emergency room in Cocody Teaching Hospital, Abidjan, Cote D'Ivoire with a large lobulated fleshy mass in the vulval area. She had been having pelvic pain, heaviness in the pelvis and bleeding per vaginam intermittently for 6 months for which she had been treated conservatively without improvement. The clinical examination was consistent with uterine inversion secondary to a mass in the fundus of the uterus. The uterus with the mass in the fundus was excised by a combined vaginal and abdominal (abdominal hysterectomy) approach. Histopathology confirmed the mass to be a sub-mucosal uterine leiomyoma. She has been followed up for 12 months without complaints.

Conclusion: We have presented a young woman with an unusual non-puerperal, total and chronic uterine inversion as a result of uterine leiomyoma managed successfully by a combined abdominal and vaginal approach.

Keywords: Good outcome; Hysterectomy; Submucosal leiomyoma; Uterine inversion.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. The patient with complete uterine inversion
See this image and copyright information in PMC

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