Inversion of uterus due to prolapsed submucous fundal fibroid

Authors

  • Manju Pandey Gynae-oncology Unit, Department of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Binuma Shrestha Gynae-oncology Unit, Department of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Bijay Chandra Acharya Gynae-oncology Unit, Department of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Hemnath Subedi Gynae-oncology Unit, Department of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Sebina Baniya Gynae-oncology Unit, Department of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal

DOI:

https://doi.org/10.3126/njog.v17i2.52382

Keywords:

hysterectomy, submucous fibroid, uterine inversion

Abstract

Inversion of uterus is rarely encountered by gynecologist during practice; inversion in a non- pregnant uterus is further rarer; only case reports are published in literature on non-puerperal uterine inversion. We present a case of a 40-years multipara who had a history of irregular and excessive vaginal bleeding associated with severe lower abdominal pain during vaginal bleeding for two years. She was referred from general hospital with suspicion of cervical cancer. Being a rare clinical condition diagnosis and management of uterine inversion is challenging. High index of clinical suspicion is necessary which can be aided by radiographic imaging. Our case was diagnosed as a case of complete uterine inversion secondary to fundal fibroid clinically. She underwent abdominal hysterectomy with bilateral salpingectomy with bilateral sacrospinous vault suspension after resuscitation with fluids, blood transfusion and broad-spectrum antibiotics.

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Published

2022-12-31

How to Cite

Pandey, M., Shrestha, B., Acharya, B. C., Subedi, H., & Baniya, S. (2022). Inversion of uterus due to prolapsed submucous fundal fibroid. Nepal Journal of Obstetrics and Gynaecology, 17(2), 78–82. https://doi.org/10.3126/njog.v17i2.52382

Issue

Section

Case Reports