CASE REPORT
Postnatal inversion of the uterus – management in specific cases.
More details
Hide details
1
Department of Obstetrics and Gynaecology and Gynaecological Oncology, Regional Hospital, Kalisz, Poland
2
The President Stanisław Wojciechowski Higher Vocational State School, Kalisz, Poland
3
Department of Women’s Health, Institute of Rural Health, Lublin, Poland
4
Dental Clinic, Augsburg, Germany
5
Regional Hospital, Kalisz, Poland
Corresponding author
Dariusz Samulak
Department of Obstetrics and Gynaecology and Gynaecological Oncology, Regional Hospital in Kalisz, Poland., Poland
Ann Agric Environ Med. 2020;27(4):717-720
KEYWORDS
TOPICS
ABSTRACT
Inversion of the uterus is defined as the turning inside out of the fundus into the uterine cavity. According to the literature, uterine inversion occurs in 1/20,000 or even 1/1,584 deliveries. Mortality rates following acute uterine inversion were reported by some authors to have been as high as 80%. Therefore, it is very important to make an early diagnosis. The shorter the time between the moment of uterine inversion and its repositioning, the better the results of conservative treatment, and bigger chance of avoiding surgical management. The article presents two cases of patients hospitalised in 2010 – 2011 in the Gynaecologic and Obstetrics Department of the Regional Polyclinic Hospital in Kalisz, Central Poland, diagnosed with acute uterine inversion in accordance with the applicable classification. Surgical management was applied in one of the patients. The other patient was managed in a conservative manner. Both women were discharged from the hospital in a good general condition.
Michalska M, Bojar I, Borycki J, Zięba B, Brandl S, Kołaciński R, Samulak D. Postnatal inversion of the uterus – management in specific cases
Ann Agric Environ Med. 2020; 27(4): 717–720. 10.26444/aaem/130512
REFERENCES (25)
1.
Czajkowski K. Poród patologiczny. Nieprawidłowy przebieg trzeciego okresu porodu. In: Bręborowicz GH, editor. Położnictwo i ginekologia. t. I. Warszawa: Wydawnictwo Lekarskie PZWL; 2015. p. 430–438.
2.
Krishna U, Tank DK, Daftary S. Pregnancy at Risk Current Concepts. New Delhi: A FOGSI publication JAYPEE Brothers, Medical Publisher. 2001.
4.
Dwivedi S, Gupta N, Mishra A, Pande S, Lal P. Uterine inversion: a shocking aftermath of mismanaged third stage of labour. Int J Reprod Contracept Obstet Gynecol. 2013; 2(3): 292–295.
https://doi.org/10.5455/2320-1....
5.
Wendel MP, Shnaekel KL, Magann EF. Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency. Obstet Gynecol Surv. 2018; 73(7): 411–417.
https://doi.org/10.1097/OGX.00....
6.
Hussain M, Jabeen T, Liaquat N, et al. Acute puerperal uterine inversion. J Coll Physicians Surg Pak. 2004; 14(4): 215–7.
8.
Vieira GTB, Santos GHND, Silva Júnior JBN, Sevinhago R, Vieira MIB, Souza ACS. Non-puerperal uterine inversion associated with myomatosis. Rev Assoc Med Bras. 2019; 65(2): 130–135.
https://doi.org/10.1590/1806-9....
9.
Free L, Ruhotina M, Napoe GS, Beffa L, Wohlrab K. Uterine Inversion Presenting as Pelvic Organ Prolapse in a Patient with Leiomyosarcoma. J Minim Invasive Gynecol. 2019; 26(7): 1217–1218.
https://doi.org/10.1016/j.jmig....
10.
Della Corte L, Giampaolino P, Fabozzi A, Di Spiezio Sardo A, Bifulco G. An exceptional uterine inversion in a virgo patient affected by submucosal leiomyoma: Case report and review of the literature. J Obstet Gynaecol Res. 2019; 45(2): 466–472.
https://doi.org/10.1111/jog.13....
11.
Martin A, Tranoulis A, Sayasneh A. Uterine Inversion Secondary to a Large Prolapsed Leiomyoma: Diagnostic and Management Challenges. Cureus. 2020; 12(3): e7168.
https://doi.org/10.7759/cureus....
12.
Agrawal S, Jayant K, Khoiwal S, Agrawal R. Subacute Puerperal Third Degree Uterine Inversion – A Rare Case. AJMCR. 2013; 1(1): 9–11.
https://doi.org/10.12691/ajmcr....
13.
Coumary S, Seetesh G. Complete chronic uterine inversion with eventration of the vagina. Taiwan J Obstet Gynecol. 2014; 53(1): 107–8.
https://doi.org/10.1016/j.tjog....
14.
Pan J, Zhou L, Huang A, Wang J, Sonographic diagnosis of complete uterine inversion: an unusual case. Clin Exp Obstet Gynecol. 2015; 42(2): 240–2.
15.
Minakshi S, Shivani A, Arshad A. Neglected puerperal inversion of the uterus: ignorance makes acute a chronic form. Pan Afr Med J. 2012; 12: 89.
16.
Gupta P, Sahu R, Huria A. Acute uterine inversion: a simple modification of hydrostatic method of treatment. Ann Med Health Sci Res. 2014; 4(2): 264–267.
https://doi.org/10.4103/2141-9...
19.
Malik R, Sangwan V, Jain S, Jain N. Management of Acute and Subacute Puerperal Uterine Inversion with Intravenous Nitroglycerin. J Gynecol Surg. 2015; 104–106.
https://doi.org/10.1089/g yn.2014.0094.
20.
Hostetler DR, Bosworth MF. Uterine inversion: a life-threatening obstetric emergency. J Am Board Fam Pract. 2000; 13(2): 120–3.
https://doi.org /10.3122/15572625-13-2-120.
21.
Evensen A, Anderson JM, Fontaine P. Postpartum Hemorrhage: Prevention and Treatment. Am Fam Physician. 2017; 1; 95(7): 442–449.
22.
Coad SL, Dahlgren LS, Hutcheon JA. Risks and consequences of puerperal uterine inversion in the United States, 2004 through 2013. Am J Obstet Gynecol. 2017; 217(3): 377.e1–377.e6.
https://doi.org/10.1016/j.ajog....
23.
Singh A, Ghimire R. A Rare Case of Chronic Uterine Inversion Secondary to Submucosal Fibroid Managed in the Province Hospital of Nepal. Case Rep Obstet Gynecol. 2020; 16; 2020: 6837961.
https://doi.org/10.1155/2020/6....
24.
Shrestha R, Shrestha S, Malla A, Pradhan R, Pradhan B, RC L. Acute Total Uterine Inversion: A Life Threatening Obstetrics Emergency. NJOG. 2018; 12(1): 62–63.
https://doi.org/10.3126/njog.v....
25.
De A, Nigam A, Jain A, Gupta N, Tripathi R. Laparoscopic Management of Nonpuerperal Uterine Inversion. J Minim Invasive Gynecol. 2019; 26(5): 981–985.
https://doi.org/10.1016/j.jmig....