Non puerperal uterine inversion secondary to leiomyoma uteri

Abstract

Background: Non Puerperal Uterine inversion is very rare. Only 150 cases have been reported in the literature over a period of 126 years.
Methods: This is a case of a 44yr old grandmultiparous woman who developed a protrusion from her vagina, after earlier diagnosis of Leiomyoma uteri and scheduled for hysterectomy. She presented in a poor clinical state with anaemia and a protruding mass per vaginam after defaulting surgery.
Results: She subsequently had vaginal hysterectomy after an initial dilemma as to the preferred route of surgery with minimal morbidity.
Conclusion: Non-puerperal uterine inversion is a rare gynaecological condition and could present as an emergency. Decision as to the extent and route of surgery, should be clear to the surgeon to avoid unnecessary morbidities.

Keywords: Puerperal, uterine inversion, uterine leiomyoma