Chronic non-puerperal uterine inversion is an extremely rare complication. Puerperal inversions are reported in 85% of uterine inversion cases. Puerperal uterine inversions are life-threatening due to the cataclysmic delivery hemorrhage they cause. Most reported cases of non-puerperal uterine inversion are due to benign tumors, including leiomyomas. Rarely, a malignant uterine tumor presents as a uterine inversion. Clinical diagnosis is often difficult due to the distorted anatomy. Four anatomical stages are classically described Radical treatment is preferred in the absence of a desire for pregnancy, and is virtually indispensable in the case of 3rd and 4th degree uterine inversion. We report the case of a 42-year-old patient who presented urgently with a stage 3 non-puerperal uterine inversions and cyanosis of the external mass. We indicated sub hysterectomy by vaginal approach. This technique was decided upon intraoperatively in view of the lesion assessment. The authors agree that due to the rarity of this pathology, most cases are operated on without any surgical experience. A rare complication that is difficult to diagnose, acute non puerperal uterine inversion is a medical-surgical emergency that must be considered when a mass is externalized through the vaginal vulva, although in our context, delivery through the uterine cervix is often the hypothesis evoked.
| Published in | Journal of Gynecology and Obstetrics (Volume 11, Issue 5) |
| DOI | 10.11648/j.jgo.20231105.15 |
| Page(s) | 130-132 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Uterine Inversion, Non-Puerperal, Hysterectomy
| [1] | Beringer RM, Patteril M. Puerperal uterine inversion and shock. Br J Anaesth. 2004; 92 (3): 439-4. PubMed | Google Scholar. |
| [2] | Dayan SS, Schwalbe SS. The use of small dose intravenous nitroglycerin in a case of uterine inversion. Anesth Analg 1996; 82: 1091-93. |
| [3] | Lupovitch A, Edwin R, Ruey C. Non-puerperal uterine inversion in association with uterine sarcoma: case report in a 26-year-old and review of the literature. Gynecol Oncol. 2005; 97 (3): 938-41. PubMed |Google Scholar. |
| [4] | Da Silva BB, Dos Santos AR, Bosco Parentes-Vieira J, Lopes-Costa PV, Pires CG. Embryonal rhabdomyosarcoma of the uterus associated with uterine inversion in an adolescent: a case report and published work review. J Obstet Gynecol Res. 2008; 34 (4 Pt 2): 735-8. PubMed | Google Scholar. |
| [5] | Toulon JM, Héritier P H, Muguet D, Spiers C, Lebrat J, Dumont M. L'inversion utérine, Rev Fr Gynecol Obstet 1980: 321-6. |
| [6] | Pelissier-Komorek A, Lucereau-Barbier M, Diab J, Gavillon N, Graesslin O. Acute non-puerperal uterine inversion the third degree. Gynécologie Obstétrique & Fertilité. 2013; 41 (2): 130-2. PubMed | Google Scholar. |
| [7] | Ahmed Touimi Benjelloun1, &, Assia Makayssi1, Simohamed Ennachit1, Mohamed Elkarroumi1. Chronic non-puerperal uterine inversion: about a case Pan African Medical Journal. 2018; 31: 231. PubMed |Google Scholar doi: 10.11604/pamj.2018.31.231.16668. |
| [8] | Goffinet F, Heitz D, Verspyck E, Philippe HJ. Inversion utérine puerpérale. Encycl Méd Chir Obstétrique. Elsevier, Paris 1999: 5107-A-10: 1-9. |
| [9] | Gowri V. Uterine inversion and corpus malignancies: a historical review. Obstet Gynecol Surv 2000; 55 (11): 703e7. |
| [10] | Yueh-Fong Tsai a, Tze-Ho Chen a, Kun-Tu Yeh b, Horng-Der Tsai a, Ming Chen. |
| [11] | C= [10] Lascarides E, Cohen M. Surgical management of non-puerperal inversion of the uterus. Obstet Gynecol 1968; 32 (3): 376e81. |
| [12] | D=6. Philippe HJ, Goffinet F, Jacquemart F, Morel B, Grall JY, Lewin D. Les traitements des inversions utérines obstétricales à propos de trois observations. J Gynecol Obstet Biol Reprod. 1991; 20: 843–9. [PubMed] [Google Schol]. |
| [13] | Auber M, Darwish B, Lefebure A, Ness J, Roman H. Management of nonpuerperal uterine inversion using a combined laparoscopic and vaginal approach. Am J Obstet Gynecol. 2011; 204 (6): e7. PubMed |Google Scholar. |
| [14] | Hawnaur JM. IRM de l'inversion utérine non puerpérale due à un carcinome de l'endomètre. Moulure F, Clin Radiol. juin 2004; 59 (6): 534-537. |
| [15] | Fofie CO, Baffoe P. GHANA Inversion utérine non puerpérale: un rapport de cas. Med J. 2010; 44 (2): 97-99. |
APA Style
Diakite Sandaly, Conte Ibrahima, Camara Fode Lansana, Camara Soriba Naby, Soumaoro Labile Togba, et al. (2023). Chronic Non-Puerperal Uterine Inversion About a Case. Journal of Gynecology and Obstetrics, 11(5), 130-132. https://doi.org/10.11648/j.jgo.20231105.15
ACS Style
Diakite Sandaly; Conte Ibrahima; Camara Fode Lansana; Camara Soriba Naby; Soumaoro Labile Togba, et al. Chronic Non-Puerperal Uterine Inversion About a Case. J. Gynecol. Obstet. 2023, 11(5), 130-132. doi: 10.11648/j.jgo.20231105.15
AMA Style
Diakite Sandaly, Conte Ibrahima, Camara Fode Lansana, Camara Soriba Naby, Soumaoro Labile Togba, et al. Chronic Non-Puerperal Uterine Inversion About a Case. J Gynecol Obstet. 2023;11(5):130-132. doi: 10.11648/j.jgo.20231105.15
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.jgo.20231105.15,
author = {Diakite Sandaly and Conte Ibrahima and Camara Fode Lansana and Camara Soriba Naby and Soumaoro Labile Togba and Diakite Saikou Yaya and Camara Ibrahima Sokhona and Toure Aboubacar},
title = {Chronic Non-Puerperal Uterine Inversion About a Case},
journal = {Journal of Gynecology and Obstetrics},
volume = {11},
number = {5},
pages = {130-132},
doi = {10.11648/j.jgo.20231105.15},
url = {https://doi.org/10.11648/j.jgo.20231105.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231105.15},
abstract = {Chronic non-puerperal uterine inversion is an extremely rare complication. Puerperal inversions are reported in 85% of uterine inversion cases. Puerperal uterine inversions are life-threatening due to the cataclysmic delivery hemorrhage they cause. Most reported cases of non-puerperal uterine inversion are due to benign tumors, including leiomyomas. Rarely, a malignant uterine tumor presents as a uterine inversion. Clinical diagnosis is often difficult due to the distorted anatomy. Four anatomical stages are classically described Radical treatment is preferred in the absence of a desire for pregnancy, and is virtually indispensable in the case of 3rd and 4th degree uterine inversion. We report the case of a 42-year-old patient who presented urgently with a stage 3 non-puerperal uterine inversions and cyanosis of the external mass. We indicated sub hysterectomy by vaginal approach. This technique was decided upon intraoperatively in view of the lesion assessment. The authors agree that due to the rarity of this pathology, most cases are operated on without any surgical experience. A rare complication that is difficult to diagnose, acute non puerperal uterine inversion is a medical-surgical emergency that must be considered when a mass is externalized through the vaginal vulva, although in our context, delivery through the uterine cervix is often the hypothesis evoked.
},
year = {2023}
}
TY - JOUR T1 - Chronic Non-Puerperal Uterine Inversion About a Case AU - Diakite Sandaly AU - Conte Ibrahima AU - Camara Fode Lansana AU - Camara Soriba Naby AU - Soumaoro Labile Togba AU - Diakite Saikou Yaya AU - Camara Ibrahima Sokhona AU - Toure Aboubacar Y1 - 2023/10/31 PY - 2023 N1 - https://doi.org/10.11648/j.jgo.20231105.15 DO - 10.11648/j.jgo.20231105.15 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 130 EP - 132 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20231105.15 AB - Chronic non-puerperal uterine inversion is an extremely rare complication. Puerperal inversions are reported in 85% of uterine inversion cases. Puerperal uterine inversions are life-threatening due to the cataclysmic delivery hemorrhage they cause. Most reported cases of non-puerperal uterine inversion are due to benign tumors, including leiomyomas. Rarely, a malignant uterine tumor presents as a uterine inversion. Clinical diagnosis is often difficult due to the distorted anatomy. Four anatomical stages are classically described Radical treatment is preferred in the absence of a desire for pregnancy, and is virtually indispensable in the case of 3rd and 4th degree uterine inversion. We report the case of a 42-year-old patient who presented urgently with a stage 3 non-puerperal uterine inversions and cyanosis of the external mass. We indicated sub hysterectomy by vaginal approach. This technique was decided upon intraoperatively in view of the lesion assessment. The authors agree that due to the rarity of this pathology, most cases are operated on without any surgical experience. A rare complication that is difficult to diagnose, acute non puerperal uterine inversion is a medical-surgical emergency that must be considered when a mass is externalized through the vaginal vulva, although in our context, delivery through the uterine cervix is often the hypothesis evoked. VL - 11 IS - 5 ER -
Email: