Leiomyosarcoma uteri presenting as uterine inversion - A case report

Abstract

A rare form of presentation of leiomyosarcoma of the uterus is reported. The patient presented with features mimicking cervical/endometrial polyp, cervical cancer or uterine prolapse. Examination in the theatre under anaesthesia revealed inversion of the uterus. A retrograde vaginal hysterectomy was done and histology report confirmed leiomyosarcoma with vascular invasion. She had pelvic recurrence within one year of surgery and died 13 months after primary surgery. This case underscores the need for early examination in theatre of all suspected cases of genital tract pathologies as a means for early diagnosis and improveprognosis.

Keywords: uterus, inversion, leiomyosarcoma, hysterectomy

Journal of Medicine in the Tropics Vol. 7(1) 2005: 27-30