Gynaecological Catastrophe: Acute on Chronic Uterine Inversion − Can We Prevent It? A Case Report and Review

Abstract

In a non-obstetric patient, uterine inversion is a rare complication of intrauterine tumors. Till date, only 200 cases have been reported worldwide. The typical presentation is with features of haemorrhagic shock. Delay in diagnosis and management deteriorates the general health and future reproductive potential of the patient. We present a 30 year old multiparous lady, a diagnosed case of submucosal fibroid who had acute uterine inversion and was managed by performing a laparotomy with Haultains procedure. The case is bring presented as it is a rare gynaecological emergency, which requires immediate resuscitative and definitive procedures. Uterine conservation is a feasible option in selected cases of uterine inversion; chronic and neglected cases are a challenge for both conservative surgery and hysterectomy. High index of suspicion for malignancy should be a consideration irrespective of age, parity, previous benign conditions to optimize outcome.

Keywords

• leiomyoma
• non-puerperal
• uterine inversion