Abstract
IntroductionInversion of the uterus is an uncommon complication of the puerperium and it is an even rarer complication of the non-puerperal period. A submucous myoma is mostly the cause of the non-puerperal inversion but diagnosis can be difficult. In young women, non-puerperal uterine inversion is likely associated with a malignancy.Case presentationA 19-year-old nulliparous woman presented with abnormal vaginal bleeding, dysmenorrhoea, and a large mass protruding from her cervix. The mass was interpreted as a prolapsed pedunculated submucosal myoma. After extirpation of the mass by clamping and twisting its pedicle, a laparotomy was required under suspicion of a uterine rupture. The diagnosis was confirmed and the patient's uterus could be preserved. Pathological examination revealed a submucous myoma. The uterine inversion happened when the uterus retracted to expel the submucous myoma with fundal attachment. By extirpating the stalk the fundus was also resected, causing a uterine rupture.ConclusionWe report a case of non-puerperal uterine inversion associated with a benign submucous myoma. Non-puerperal uterine inversion is very uncommon in women of reproductive age and is usually caused by a malignant tumour. However, uterine-sparing surgery should be attempted in young women until the final pathology is known.
Highlights
Inversion of the uterus is an uncommon complication of the puerperium and it is an even rarer complication of the non-puerperal period
We report a case of non-puerperal uterine inversion associated with a benign submucous myoma
Non-puerperal uterine inversion is very uncommon in women of reproductive age and is usually caused by a malignant tumour
Summary
We report a case of non-puerperal uterine inversion due to benign submucous myoma in a young woman. Nonpuerperal uterine inversion is very uncommon in women of reproductive age and is usually caused by a malignant tumour. Diagnosis is difficult and often obtained during operation but radiological evaluation may help in making the correct diagnosis preoperatively. Uterine-sparing surgery should be attempted in young women until the final pathology of the disorder is known. Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Authors’ contributions MV and DP were involved in patient care. MV collected the background data and wrote the manuscript. DAMP was involved in drafting the manuscript and providing feedback on earlier drafts. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests
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