Management of Nonpuerperal Uterine Inversion Using a Combined Vaginal and Abdominal Approach
Joint Authors
Abubeker, Ferid A.
Misgina, Mulugeta
Ebabu, Ahmed
Fekade, Eyerusalem
Gashawbeza, Biruck
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Nonpuerperal uterine inversion is an extremely rare clinical condition.
As such, some cases will have to be managed without prior experience.
Clinicians must have a high index of suspicion to make the diagnosis and a clear understanding of the principles of recommended surgical techniques.
Here, we report a case of nonpuerperal uterine inversion managed using a combined vaginal and abdominal approach.
Case Presentation.
A 70-year-old postmenopausal woman presented with profuse vaginal bleeding and protruding mass per vagina.
Examination showed a solitary globular mass attached to an inverted uterus.
A clinical diagnosis of nonpuerperal uterine inversion was made.
A vaginal approach was used to first remove the mass followed by an abdominal approach to reposition the uterus using the Haultain procedure.
Subsequently, total abdominal hysterectomy with bilateral salpingo-oophorectomy was done without complication.
Histologic examination showed myoma with adenomyosis.
Conclusion.
Advanced imaging techniques such as 3D power Doppler and MRI have signature signs to confirm the clinical diagnosis of uterine inversion.
Short of these diagnostic modalities, however, carefully conducted clinical examination including examination under anesthesia, and pelvic ultrasonography can be valuable tools to reach at a diagnosis.
A combined vaginal and abdominal surgical approach can facilitate repositioning and/or hysterectomy when there is a large protruding vaginal mass.
American Psychological Association (APA)
Abubeker, Ferid A.& Misgina, Mulugeta& Ebabu, Ahmed& Fekade, Eyerusalem& Gashawbeza, Biruck. 2020. Management of Nonpuerperal Uterine Inversion Using a Combined Vaginal and Abdominal Approach. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149199
Modern Language Association (MLA)
Abubeker, Ferid A.…[et al.]. Management of Nonpuerperal Uterine Inversion Using a Combined Vaginal and Abdominal Approach. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1149199
American Medical Association (AMA)
Abubeker, Ferid A.& Misgina, Mulugeta& Ebabu, Ahmed& Fekade, Eyerusalem& Gashawbeza, Biruck. Management of Nonpuerperal Uterine Inversion Using a Combined Vaginal and Abdominal Approach. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149199
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149199