Clinical Case Reports (Aug 2023)

Uterine perforation during uterine repositioning on nonpuerperal uterine inversion by delivery of a large fibroid: A case report

  • Mari Uomoto,
  • Aya Tokinaga‐Uchiyama,
  • Natsuko Kobayashi,
  • Mika Okuda

DOI
https://doi.org/10.1002/ccr3.7810
Journal volume & issue
Vol. 11, no. 8
pp. n/a – n/a

Abstract

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Key Clinical Message Transvaginal uterine restoration of nonpuerperal uterine inversion is difficult; there are risks of heavy bleeding and uterine perforation. In such cases, total hysterectomy and transfusion are inevitable. Abstract A 47‐year‐old woman with profuse genital bleeding, diagnosed with nonpuerperal uterine inversion caused by a uterine fibroma, underwent emergency surgery. Uterine perforation occurred during transvaginal uterine restoration, revealed by laparoscopy. Bleeding persisted and blood transfusion volume increased; therefore, a total hysterectomy was performed for hemostasis.

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