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Chronic Non-Puerperal Uterine Inversion: A report of two cases
Abstract
Inversion of the uterus is a rare clinical problem. Non puerperal inversion usually results from a tumour arising from the fundus of the uterus. The patient may present with heavy vaginal bleeding, discharge or pelvic pain. We report 2 cases of chronic non puerperal uterine inversion in a 38year old woman and a 54year old postmenopausal woman. Both presented with vaginal bleeding, a mass protruding from the vagina and lower abdominal pain. At first vaginal myomectomy was performed and subsequently Kustner procedure and then vaginal hysterectomy in both cases. Early diagnosis, immediate resuscitation and early replacement of the inverted uterus are important to prevent further complications.