Chronic uterine inversion: Mimicking uterine cervical polyp or leiomyoma

Abstract

Key clinical message: The diagnosis of chronic uterine inversion occurs after birth or secondary to pathologies of the pelvic region organs. Especially, the diagnosis and treatment of isolated chronic inversion rapidly under appropriate conditions seem to reduce maternal morbidity and mortality.

Abstract: Chronic uterine inversion is a rare clinical diagnosis and difficult to diagnose and treat. This is a 22-year-old patient with no particular history known for a month for uterine fibroid with a polyp, who gave birth through the cervix in the context of subfertility for a year. Non puerperal uterine inversion is a rare clinical condition, and it should be kept in mind that this may be uterine inversion when mass lesions causing clinical complaints are detected, especially in the vulva, vagina, and cervix uteri region. The quality of life of the patients is increased by reducing the morbidity and mortality rates by making a diagnosis with a good clinical and ultrasonographic evaluation.

Keywords: chronic uterine inversion; leiomyoma; nonpuerperal; uterine cervical polyp; uterine fibroid.

FIGURE 1

(A) Image of bleeding uterus on preoperative vaginal examination. (B) The uterus is seen to be inverted in the transvaginal ultrasonographic image. (C) Kissing ovaries and tubes in intraoperative pelvic examination (uterus cannot be clearly observed) (flowerwave apperance).