Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 2 , Pages 159-161, June 2006

Submucous Myoma Induces Uterine Inversion

Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan

Accepted 5 January 2006.

Article Outline

Summary 

Objective

Inversion of the uterus is indeed a rarity for a gynecologist. The puerperal variety is associated with pregnancy, including term pregnancy and abortion. The nonpuerperal condition may be tumor-induced or idiopathic. We present a nonpuerperal uterine inversion and discuss a reasonable plan for its management

Case Report

A 42-year-old, unmarried woman without sexual experience and any systemic diseases noted a mass outside of the vaginal introitus combined with massive vaginal bleeding and abdominal pain of sudden onset after taking laxative agents for colonoscopic preparation. Then she had voiding difficulty with distended bladder. A suprapubic urinary catheter was inserted and 800 mL urine was drained out. The patient received emergency tumor resection and subtotal hysterectomy. The diagnosis of uterine inversion was confirmed during operation. The postoperative course was uneventful and she was discharged without complication.

Conclusion

Nonpuerperal inversion of the uterus is rarely encountered by gynecologists. Diagnosis of uterine inversion is often not easy and imaging studies might be helpful. Surgical treatment is the method of choice in nonpuerperal uterine inversion.

Key Words:  leiomyoma , uterine inversion

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References 

  1. Jones HW . Non-puerperal inversion of uterus . Am J Surg . 1951;81:492–495
  2. Takano K , Ichikawa Y , Tsunoda H , Nishida M . Uterine inversion caused by uterine sarcoma: a case report . Jpn J Clin Oncol . 2001;31:39–42
  3. Kopal S , Seckin NC , Turhan NO . Acute uterine inversion due to a growing submucous myoma in an elderly woman: case report . Eur J Obstet Gynecol Reprod Biol . 2001;99:118–120
  4. Pride GL , Shaffer RL . Non-puerperal uterine inversion. Report of an unusual case . Obstet Gynecol . 1977;49:361–364
  5. Krenning RA , Dorr PJ , de Groot WH , de Goey WB . Nonpuerperal uterine inversion. Case report . Br J Obstet Gynaecol . 1982;89:247–249
  6. Lascarides E , Cohen M . Surgical management of nonpuerperal inversion of the uterus . Obstet Gynecol . 1968;32:376–381
  7. Hanprasertpong J , Wootipoom V , Hanprasertpong T . Nonpuerperal uterine inversion and uterine sarcoma (malignant mixed mullerian tumor): report of an unusual case . J Obstet Gynaecol Res . 2004;30:105–108
  8. Moodley M , Moodley J . Non-puerperal uterine inversion in association with uterine sarcoma: clinical management . Int J Gynecol Cancer . 2003;13:244–245

PII: S1028-4559(09)60216-3

doi:10.1016/S1028-4559(09)60216-3

Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 2 , Pages 159-161, June 2006

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