Inversion of the Uterus
Authors
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Sakineh Kolahdozan
- Department of Obstetrics and Gynecology, Bahar Center for Education, Research and Treatment, Shahroud University of Medical Sciences, Shahroud, Iran.
https://orcid.org/0009-0007-0644-5042
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Mehdi Ebrahimi
- Department of Surgery, Imam Hossain Center for Education, Research and Treatment, Shahroud University of Medical Sciences, Shahroud, Iran.
https://orcid.org/0009-0001-4511-6213
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Kousar Kousari
- Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.
https://orcid.org/0009-0008-4341-3987
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Pouneh Zolfaghari
- Vice-chancellery of Health, Shahroud University of Medical Sciences, Shahroud, Iran.
https://orcid.org/0000-0001-7083-8288
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Sina Sohrabi
- Student Research Committee, School of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran.
https://orcid.org/0009-0005-1683-9497
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Mohammad Bagher Sohrabi
- School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.
https://orcid.org/0000-0001-6768-832X
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Marjan Rashidan
- School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.
https://orcid.org/0000-0002-7981-4095
DOI:
https://doi.org/10.22100/jkh.v20i1.3407Keywords:
Inversion of the uterus, Abdominal painAbstract
Acute uterine inversion is a rare but life-threatening condition that occurs when the uterine fundus collapses into the endometrial cavity, typically following placental separation after delivery. This condition can lead to shock, severe hemorrhage, and even maternal death.
The patient is a 23-year-old woman at 39 weeks of gestation who presented with severe abdominal pain, changes in vaginal appearance, and the absence of a palpable uterus on abdominal examination following vaginal delivery. She was immediately transferred to the operating room with a suspected diagnosis of uterine inversion. Under general anesthesia, uterine relaxants were administered, and the uterine fundus was successfully repositioned using a two-handed manual maneuver. The uterus was held in its natural anatomical position for several minutes while uterotonic agents were administered to promote and maintain continued contraction. Fortunately, the patient responded well to the intervention, and the uterine inversion was effectively managed.
References
Herath RP, Patabendige M, Rashid M, Wijesinghe PS. Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know? Obstet Gynecol Int 2020; 2020: 8625186. https://pubmed.ncbi.nlm.nih.gov/32565821/
Monteiro Leal RF, Mano Luz R, de Almeida JP, Duarte V, Matos I. Total and acute uterine inversion after delivery: a case report. J Med Case Rep 2014; 8: 347. https://pubmed.ncbi.nlm.nih.gov/25326075/
Zhan J, Xing A, Tan X. Complete cervical inversion and nearly inappropriate stitching with cesarean section during the second stage of labor: a case report. J Int Med Res 2021; 49(3): 0300060521999522. https://pubmed.ncbi.nlm.nih.gov/33730903/
Gao Q, Jiang H, Jia M, Xiong J. Acute puerperal uterine inversion with successful manual transvaginal repositioning: A case report. Medicine (Baltimore) 2024; 103(17): e37986. https://pubmed.ncbi.nlm.nih.gov/38669392/
Asefa E, Abdulhay F, Dhugasa D. Chronic Uterine Inversion in 54-Year-Old Woman: Case Report. Int Med Case Rep J 2023; 16: 627–631. https://pubmed.ncbi.nlm.nih.gov/37794998/
Sunjaya AP, Dewi AK. Total Uterine Inversion Post-Partum: Case Report and Management Strategies. J Family Reprod Health 2018; 12(4): 223–225. https://pmc.ncbi.nlm.nih.gov/articles/PMC6581659/
Kumari S, Singh V, Ray A, Swain A. Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report. J Family Med Prim Care 2022; 11(2): 793–795. https://pubmed.ncbi.nlm.nih.gov/35360782/
Abubeker FA, Misgina M, Ebabu A, Fekade E, Gashawbeza B. Management of Nonpuerperal Uterine Inversion Using a Combined Vaginal and Abdominal Approach. Case Rep Obstet Gynecol 2020; 2020: 8827207. https://pubmed.ncbi.nlm.nih.gov/33489392/
Shasindran R, Dharshini N, Aruku N, Sasikala A. Exploring Non-puerperal Uterine Inversion: A Case Series. Cureus 2024; 16(1): e53071. https://pubmed.ncbi.nlm.nih.gov/38410337/
Marlina D, Susandi D, Utomo A. Uterine inversion in retained placenta that is why a good management of third stage of labor matters: A case report. SAGE Open Med Case Rep2024; 12: 2050313X241266582. https://pubmed.ncbi.nlm.nih.gov/39071197/
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