Submucous myoma induces uterine inversion
Journal
Taiwanese Journal of Obstetrics and Gynecology
Journal Volume
45
Journal Issue
2
Pages
159-161
Date Issued
2006
Author(s)
Abstract
Objective: Inversion of the uterus is indeed a rarity for a gynecologist. The puerperal variety is associated with pregnancy, including term pregnancy and abortion. The nonpuerperal condition may be tumor-induced or idiopathic. We present a nonpuerperal uterine inversion and discuss a reasonable plan for its management. Case Report: A 42-year-old, unmarried woman without sexual experience and any systemic diseases noted a mass outside of the vaginal introitus combined with massive vaginal bleeding and abdominal pain of sudden onset after taking laxative agents for colonoscopic preparation. Then she had voiding difficulty with distended bladder. A suprapubic urinary catheter was inserted and 800 mL urine was drained out. The patient received emergency tumor resection and subtotal hysterectomy. The diagnosis of uterine inversion was confirmed during operation. The postoperative course was uneventful and she was discharged without complication. Conclusion: Nonpuerperal inversion of the uterus is rarely encountered by gynecologists. Diagnosis of uterine inversion is often not easy and imaging studies might be helpful. Surgical treatment is the method of choice in nonpuerperal uterine inversion.
SDGs
Other Subjects
laxative; abdominal pain; adult; anamnesis; article; bladder aspiration; bladder distension; blood transfusion; cancer surgery; case report; clinical feature; colonoscopy; emergency surgery; female; gynecological examination; histopathology; hospital discharge; human; human tissue; laboratory test; micturition; myoma; postoperative care; postoperative complication; puerperium; uterus inversion; vagina bleeding; vaginal hysterectomy
Publisher
Elsevier Ltd
Type
journal article