Postpartum acute intrauterine inversion: A case report

Abstract

Rationale: Uterine inversion is a rare and dangerous obstetric emergency, often occurring in the third stage of labor and leading to severe postpartum hemorrhage. It is less common in low-risk pregnant women, yet its prompt management is crucial. This case report fills a gap in the literature by presenting a rare instance in a low-risk young female, offering clinical insights.

Patient concerns: A low-risk young female had sudden uterine inversion during the third stage of vaginal delivery, with persistent bleeding from the placental site, causing distress and posing an immediate health threat.

Diagnoses: Physical examination revealed an abnormal uterine position and inability to contract normally, leading to a diagnosis of severe postpartum hemorrhage due to uterine inversion.

Interventions: Immediate medical intervention was carried out to reposition the inverted uterus and control bleeding. After the correction, appropriate measures were taken to ensure stability and prevent complications.

Outcomes: The patient's condition was successfully managed, with the inversion corrected and bleeding stopped. Follow-up showed significant improvement and no long-term complications.

Lessons: This case emphasizes vigilance for rare complications even in low-risk pregnancies and the need for prompt, coordinated intervention. It contributes to knowledge on uterine inversion management for researchers and clinicians.

Keywords: clinical management; low-risk pregnancy; postpartum hemorrhage; third stage of labor; uterine inversion.

Figure 1.

Imaging data of intraoperative neutron inversion.

Figure 2.

The patient’s uterine recovery 5 days after delivery.

Figure 3.

The patient’s uterine recovery 60 days after delivery.