Chronic Uterine Inversion Following Mid-Trimester Abortion.

Abstract

Uterine inversion during the postpartum period is a relatively rare but serious complication. It occurs as acute, chronic and subacute forms depending on time interval from delivery. In terms of onset of the inversion, acute describes the event occurring before cervical ring contraction. If the cervical ring has contracted, a subacute inversion has occurred. The inversion is classified as chronic if 4 weeks have elapsed after the event. Severe postpartum hemorrhage and shock result from the uterine inversion. If unrecognized, this obstetric emergency could cause serious morbidity or death. The reported incidence of uterine inversion varies considerably in the literature. Treatment options for this obstetric complication also vary from patient to patient and depend upon surgeon’s familiarity with the procedure. Available options for correcting an inversion are hydrostatic as well as manual and surgical reposition with or without pharmacological agents (uterine relaxants). Here is a case report of complete chronic uterine inversion following spontaneous mid-trimester abortion.