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Chronic Non-Puerperal Uterine Inversion About a Case

Received: 18 September 2023     Accepted: 14 October 2023     Published: 31 October 2023
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Abstract

Chronic non-puerperal uterine inversion is an extremely rare complication. Puerperal inversions are reported in 85% of uterine inversion cases. Puerperal uterine inversions are life-threatening due to the cataclysmic delivery hemorrhage they cause. Most reported cases of non-puerperal uterine inversion are due to benign tumors, including leiomyomas. Rarely, a malignant uterine tumor presents as a uterine inversion. Clinical diagnosis is often difficult due to the distorted anatomy. Four anatomical stages are classically described Radical treatment is preferred in the absence of a desire for pregnancy, and is virtually indispensable in the case of 3rd and 4th degree uterine inversion. We report the case of a 42-year-old patient who presented urgently with a stage 3 non-puerperal uterine inversions and cyanosis of the external mass. We indicated sub hysterectomy by vaginal approach. This technique was decided upon intraoperatively in view of the lesion assessment. The authors agree that due to the rarity of this pathology, most cases are operated on without any surgical experience. A rare complication that is difficult to diagnose, acute non puerperal uterine inversion is a medical-surgical emergency that must be considered when a mass is externalized through the vaginal vulva, although in our context, delivery through the uterine cervix is often the hypothesis evoked.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 5)
DOI 10.11648/j.jgo.20231105.15
Page(s) 130-132
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Uterine Inversion, Non-Puerperal, Hysterectomy

References
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[3] Lupovitch A, Edwin R, Ruey C. Non-puerperal uterine inversion in association with uterine sarcoma: case report in a 26-year-old and review of the literature. Gynecol Oncol. 2005; 97 (3): 938-41. PubMed |Google Scholar.
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[10] Yueh-Fong Tsai a, Tze-Ho Chen a, Kun-Tu Yeh b, Horng-Der Tsai a, Ming Chen.
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[12] D=6. Philippe HJ, Goffinet F, Jacquemart F, Morel B, Grall JY, Lewin D. Les traitements des inversions utérines obstétricales à propos de trois observations. J Gynecol Obstet Biol Reprod. 1991; 20: 843–9. [PubMed] [Google Schol].
[13] Auber M, Darwish B, Lefebure A, Ness J, Roman H. Management of nonpuerperal uterine inversion using a combined laparoscopic and vaginal approach. Am J Obstet Gynecol. 2011; 204 (6): e7. PubMed |Google Scholar.
[14] Hawnaur JM. IRM de l'inversion utérine non puerpérale due à un carcinome de l'endomètre. Moulure F, Clin Radiol. juin 2004; 59 (6): 534-537.
[15] Fofie CO, Baffoe P. GHANA Inversion utérine non puerpérale: un rapport de cas. Med J. 2010; 44 (2): 97-99.
Cite This Article
  • APA Style

    Diakite Sandaly, Conte Ibrahima, Camara Fode Lansana, Camara Soriba Naby, Soumaoro Labile Togba, et al. (2023). Chronic Non-Puerperal Uterine Inversion About a Case. Journal of Gynecology and Obstetrics, 11(5), 130-132. https://doi.org/10.11648/j.jgo.20231105.15

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    ACS Style

    Diakite Sandaly; Conte Ibrahima; Camara Fode Lansana; Camara Soriba Naby; Soumaoro Labile Togba, et al. Chronic Non-Puerperal Uterine Inversion About a Case. J. Gynecol. Obstet. 2023, 11(5), 130-132. doi: 10.11648/j.jgo.20231105.15

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    AMA Style

    Diakite Sandaly, Conte Ibrahima, Camara Fode Lansana, Camara Soriba Naby, Soumaoro Labile Togba, et al. Chronic Non-Puerperal Uterine Inversion About a Case. J Gynecol Obstet. 2023;11(5):130-132. doi: 10.11648/j.jgo.20231105.15

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  • @article{10.11648/j.jgo.20231105.15,
      author = {Diakite Sandaly and Conte Ibrahima and Camara Fode Lansana and Camara Soriba Naby and Soumaoro Labile Togba and Diakite Saikou Yaya and Camara Ibrahima Sokhona and Toure Aboubacar},
      title = {Chronic Non-Puerperal Uterine Inversion About a Case},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {5},
      pages = {130-132},
      doi = {10.11648/j.jgo.20231105.15},
      url = {https://doi.org/10.11648/j.jgo.20231105.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231105.15},
      abstract = {Chronic non-puerperal uterine inversion is an extremely rare complication. Puerperal inversions are reported in 85% of uterine inversion cases. Puerperal uterine inversions are life-threatening due to the cataclysmic delivery hemorrhage they cause. Most reported cases of non-puerperal uterine inversion are due to benign tumors, including leiomyomas. Rarely, a malignant uterine tumor presents as a uterine inversion. Clinical diagnosis is often difficult due to the distorted anatomy. Four anatomical stages are classically described Radical treatment is preferred in the absence of a desire for pregnancy, and is virtually indispensable in the case of 3rd and 4th degree uterine inversion. We report the case of a 42-year-old patient who presented urgently with a stage 3 non-puerperal uterine inversions and cyanosis of the external mass. We indicated sub hysterectomy by vaginal approach. This technique was decided upon intraoperatively in view of the lesion assessment. The authors agree that due to the rarity of this pathology, most cases are operated on without any surgical experience. A rare complication that is difficult to diagnose, acute non puerperal uterine inversion is a medical-surgical emergency that must be considered when a mass is externalized through the vaginal vulva, although in our context, delivery through the uterine cervix is often the hypothesis evoked.
    },
     year = {2023}
    }
    

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    T1  - Chronic Non-Puerperal Uterine Inversion About a Case
    AU  - Diakite Sandaly
    AU  - Conte Ibrahima
    AU  - Camara Fode Lansana
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    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    AB  - Chronic non-puerperal uterine inversion is an extremely rare complication. Puerperal inversions are reported in 85% of uterine inversion cases. Puerperal uterine inversions are life-threatening due to the cataclysmic delivery hemorrhage they cause. Most reported cases of non-puerperal uterine inversion are due to benign tumors, including leiomyomas. Rarely, a malignant uterine tumor presents as a uterine inversion. Clinical diagnosis is often difficult due to the distorted anatomy. Four anatomical stages are classically described Radical treatment is preferred in the absence of a desire for pregnancy, and is virtually indispensable in the case of 3rd and 4th degree uterine inversion. We report the case of a 42-year-old patient who presented urgently with a stage 3 non-puerperal uterine inversions and cyanosis of the external mass. We indicated sub hysterectomy by vaginal approach. This technique was decided upon intraoperatively in view of the lesion assessment. The authors agree that due to the rarity of this pathology, most cases are operated on without any surgical experience. A rare complication that is difficult to diagnose, acute non puerperal uterine inversion is a medical-surgical emergency that must be considered when a mass is externalized through the vaginal vulva, although in our context, delivery through the uterine cervix is often the hypothesis evoked.
    
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Author Information
  • Department of General Surgery, Ignace DEEN National Hospital, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Gynecology and obstetrics, Ignace Denn National Hospital, Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Donka National Hospital, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Friendship Hospital Sino Guinean of Kipe, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace DEEN National Hospital, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Donka National Hospital, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace DEEN National Hospital, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace DEEN National Hospital, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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