Non-puerperal uterine inversion in a young woman: a case report

• Published in: Journal of the West African College of Surgeons Vol. 5; no. 3; pp. 78 - 83
• Main Authors: Kouamé, A, Koffi, S V, Adjoby, R, Diomandé, F A, Effoh, D, Oussou, C, Kouakou, F
• Format: Report
• Language: English
• Published: 01-07-2015
• ISSN: 2276-6944

BACKGROUNDUterine inversion is an uncommon complication in the non-puerperal period. Submucosal myoma is more frequently involved usually among women above 45 years old. CASE PRESENTATIONA 28 year-old patient was admitted to the gynaecology emergency room in Cocody Teaching Hospital, Abidjan, Cote D'Ivoire with a large lobulated fleshy mass in the vulval area. She had been having pelvic pain, heaviness in the pelvis and bleeding per vaginam intermittently for 6 months for which she had been treated conservatively without improvement. The clinical examination was consistent with uterine inversion secondary to a mass in the fundus of the uterus. The uterus with the mass in the fundus was excised by a combined vaginal and abdominal (abdominal hysterectomy) approach. Histopathology confirmed the mass to be a sub-mucosal uterine leiomyoma. She has been followed up for 12 months without complaints. CONCLUSIONWe have presented a young woman with an unusual non-puerperal, total and chronic uterine inversion as a result of uterine leiomyoma managed successfully by a combined abdominal and vaginal approach.