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
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
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: © 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.