Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 3 Issue 9

Non-Puerperal Uterine Inversion Secondary to Large Submucosal Leiomyoma: A Case Report

Binamra Sigdel1*, Rita Marahatta2 and Arpana Neupane3

1Registrar, Department of Obstetrics and Gynecology, Medicare National Hospital and Research Center Ltd, Kathmandu, Nepal
2Professor, Department of Obstetrics and Gynecology, Medicare National Hospital and Research Center Ltd, Kathmandu, Nepal
3Registrar, Department of Radiodiagnosis, Nepal Mediciti Hospital, Lalitpur, Nepal

*Corresponding Author: Binamra Sigdel, Registrar, Department of Obstetrics and Gynecology, Medicare National Hospital and Research Center Ltd, Kathmandu, Nepal.

Received: May 22, 2021; Published: August 10, 2021

Abstract

Introduction: The chronic non puerperal uterine inversion is a rare gynecological clinical condition which usually results from tumour arising from the fundus of the uterus.

Case Presentation: A 44- year- old lady presented with complaints of dysmenorrhea and menorrhagia for the last five years and foul smelling PV discharge and lower abdomen pain for 15 days. On laparotomy, huge submucosal fibroid from fundal region was seen and there was the typical appearance of uterine inversion, ie broad ligament, round ligament and other associated structures were stretched due to uterine inversion. Uterine reposition was tried but it was not possible.

Conclusion: Chronic nonpuerperal inversion of the uterus is rare. Infection should be suspected and appropriate broad spectrum antibiotics begun while planning surgery. An attempt at vaginal restoration and removal is difficult. Abdominal hysterectomy may be necessary while taking care of ureteric and bladder injury.

Keywords: Chronic Uterine Inversion; Fibroid Polyp; Misdiagnosed; Non-puerperal

References

  1. H W Jones. “Non-puerperal inversion of the uterus”. American Journal of Surgery5 (1951): 492-495.
  2. K Takano., et al. “Uterine inversion caused by uterine sarcoma : a case report”. Japanese Journal of Clinical Oncology1 (2001): 39-42.
  3. Muhammad Z., et al. “Chronic Non-Puerperal Uterine Inversion: A report of two cases”. Borno Medical Journal 9 (2012): 18-21.
  4. Safdarian L., et al. “Non puerperal uterine inversion: a case report”. Acta Medica Iranica 4 (2003): 59-61.
  5. Eigbefoh JO., et al. “Chronic uterine inversion secondary to sub mucous fibroid: a case report”. Nigerian Journal of Clinical Practice 12 (2009): 106-107.
  6. E Lascaides and M Cohen. “Surgical management of non-puerpeal inveison of the uterus”. Obstetrics and Gynecology 32 (1968): 376-381.
  7. A Kumari., et al. “Chronic uterine invesion secondary to submucous fibroid: a rare case report”. International Journal of Scientific Study 3 (2016): 302-304.
  8. Mirza FG and Gaddipati S. “Obstetric Emergencies”. Seminars in Perinatology 33 (2009): 97-103.
  9. Rocconi RH., et al. “Postmenopausal uterine inversion associated with endometrial polyps”. Obstetrics and Gynaecology 102 (2003): 521-523.
  10. Macleod D and Howkins J. “Operations to correct axial displacements and inversion of the uterus”. In: Macleod D, Howkins J, editors. Bonney's Gynaecological Surgery. 7th ed. Cassel; London (1964): 458-470.

Citation

Citation: Binamra Sigdel., et al. “Non-Puerperal Uterine Inversion Secondary to Large Submucosal Leiomyoma: A Case Report”. Acta Scientific Women's Health 3.9 (2021): 05-08.

Copyright

Copyright: © 2021 Binamra Sigdel.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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