Publication:

Non-puerperal uterine inversion: a case report

Non-puerperal uterine inversion is rare. A 42-year old multiparous woman presented with lower abdominal pain, offensive vaginal discharge, heavy menstrual bleeding and a huge protruding mass per vaginum. Clinical examination revealed an inverted uterus, cervix and vagina with a large submucosal fundal fibroid. A diagnosis of non-puerperal uterine inversion and severe anaemia was made. After anaemia correction by blood component transfusion, she successfully underwent vaginal correction followed immediately by hysterectomy by abdominal route. Post- operative period was uneventful and she was discharged in good condition. Histopathology confirmed the diagnosis of leiomyoma. The aim was to highlight a rare condition of chronic non-puerperal uterine inversion following the extrusion of a benign fundally located submucous uterine myoma. A high index of suspicion is required to make a prompt diagnosis.