Symptoms include postpartum bleeding, abdominal pain, a mass in the vagina. It is a rare complication of vaginal or cesarean delivery, but when it occurs, it is a lifethreatening obstetric emergency. A case of uterine inversion is presented with satisfactory results. Abstract uterine inversion is a rare and severe clinical entity described related to obstetric emergency in labor third stage complications, which needs immediate treatment, usually surgery. This article aims to show the scientific community some elements. Complete inversion describes an inverted fundus that extends beyond the external os a prolapsed inversion is one in which the inverted uterine fundus extends beyond the vaginal introitus a total inversion, usually nonpuerperal and tumor related. Request pdf inversion uterina puerperal introductionuterine inversion is a rare obstetric emergency that occurs during the third stage of labor find, read and cite all the research you need. Chronic non puerperal uterine inversion secondary to submucosal fibroid. Summary a rare case of late diagnosis of uterine inversion is presented. Chronic non puerperal uterine inversion secondary to sub.
Clinically, the patient had profuse vaginal bleeding and dyspareunia of 14 months duration. Request pdf on researchgate inversion uterina puerperal. Robinson borges fernandez, francisco diaz carrazana, orlando antonio rodriguez aleman, maria elena garaboto garcia, carlos moya toneut, alina more vega. The incidence varies considerably and can range from 1 case in 2000 to 1 case in every 50,000 births. This article reports a case of nonpuerperal uterine inversion, illustrating the correlation between mri and intraoperative images. Inversion uterina puerperal subaguda grado ii scielo cuba. Uterine inversion is the prolapse of the fundus to or through the cervix so that the uterus is in effect turned inside out. It usually occurs in the second stage of labour and is a lifethreatening complication requiring prompt diagnosis and definitive management. Inercia uterina traccion del cordon umbilical placenta fundicaacretismo placentario 5. Oct 17, 2014 uterine inversion is a rare obstetric emergency that can lead to hypovolemic shock or even maternal death. Nonpuerperal uterine inversion is a very infrequent event.
There are many management strategies, but they are poorly described and dispersed in the medical literature. Uterine inversion is a rare obstetric emergency that can lead to hypovolemic shock or even maternal death. Complete inversion describes an inverted fundus that extends beyond the external os a prolapsed inversion is one in which the inverted uterine fundus extends beyond the vaginal introitus a total inversion, usually nonpuerperal and tumor related, results in inversion of the uterus and vaginal wall as well. Nonpuerperal uterine inversion is a rare condition that can be easily diagnosed with mri. Uterine inversion is when the uterus turns inside out, usually following childbirth. Uterine inversion is a potentially lifethreatening obstetric complication. Sonographicand mr features of puerperal uterine inversion. Histerectomia obstetrica, ultimo rene hernandezsanchez,1. Inversion uterina ginecologia y obstetricia manual msd.
Incomplete nonpuerperal uterine inversion is a rare complication that can arise secondary to the presence of submucous fibroid. Prompt diagnosis and management reduces associated morbidity and mortality. In a full uterine inversion, the uterus may be visible inside the vagina. This postpartum complication has an academic importance due to its rarity and severity. The authors describe a case of complete uterine inversion. Mar 10, 2016 nonpuerperal uterine inversion is a rare condition that can be easily diagnosed with mri. Dec 10, 2015 uterine inversion, either partial or complete, is a rare but serious obstetric complication. We describe the case of a 53yearold woman who presented with bleeding, abdominal pain and a large mass protruding through the vagina. Inversion uterina puerperal subaguda grado ii subacute puerperal uterine inversion grade ii robinson borges fernandez, francisco diaz carrazana, orlando antonio rodriguez aleman, maria elena garaboto garcia, carlos moya toneut, alina more vega. The cause is often the presence of a fundal submucous leiomyoma, but diagnosis is difficult and requires a high index of suspicion. Inversion of uterus is a rare clinical condition, if not associated with puerperium or third stage of labour. The replacement of the uterus was done by vaginal technique and revised by laparoscopic technique with satisfactory. Chronic incomplete nonpuerperal uterine inversion due to.
Volume 57, issue 7, augustseptember 2014, pages 291293. A 56yearold postmenopausal woman presented with increased, painless bleeding for 10 days. Introduction uterine inversion occurs when the uterine fundus collapses into the endometrial cavity, turning the uterus partially or completely inside out. Nonpuerperal uterine inversion usually results secondary to tumour implanted at fundus of the uterus.
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