Abstract
Non-puerperal uterine inversion is rare. A 42-year old woman presented with lower abdominal pain, offensive vaginal discharge and a huge protruding mass per vaginum. A clinical diagnosis of non-puerperal uterine inversion was made and she successfully underwent vaginal hysterectomy. A high index of suspicion is required to make a prompt diagnosis.
Highlights
Non-puerperal uterine inversion has been described as a rare occurrence by several authors but how really rare is it has not been defined (1-8)
We describe here a 42-year old woman who was diagnosed with non-puerperal uterine inversion and successfully underwent vaginal hysterectomy in the Upper West Regional Hospital in Ghana
A transverse incision was made at the cervico-uterine junction, dissecting anteriorly till bladder was separated and the anterior peritoneum was opened. A full thickness longitudinal incision was made from the level of the cervix to the fundus of the uterus, exposing this way both fallopian tubes, ovaries and round ligaments.(see Figure 3)
Summary
A 42-year old woman presented with lower abdominal pain, offensive vaginal discharge and a huge protruding mass per vaginum. A clinical diagnosis of non-puerperal uterine inversion was made and she successfully underwent vaginal hysterectomy. A high index of suspicion is required to make a prompt diagnosis
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