NON-PUERPERAL UTERINE INVERSION IN A YOUNG WOMAN: A CASE REPORT
*Kouamé A, Koffi SV, Adjoby R, Diomandé FA, Effoh D, Oussou C, Kouakou F.Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d’Ivoire.
E-mail : arthur.kouame@mail.huji.ac.il
*Correspondence
Grant support: None
Conflict of Interest: None
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Background: Uterine inversion is an uncommon complication in the non-puerperal period. Submucosal myoma is more frequently involved usually among women above 45 years old.
Case presentation: A 28 year-old patient was admitted to the gynaecology emergency room in Cocody Teaching Hospital, Abidjan, Cote D’Ivoire with a large lobulated fleshy mass in the vulval area. She had been having pelvic pain, heaviness in the pelvis and bleeding per vaginam intermittently for 6 months for which she had been treated conservatively without improvement. The clinical examination was consistent with uterine inversion secondary to a mass in the fundus of the uterus. The uterus with the mass in the fundus was excised by a combined vaginal and abdominal (abdominal hysterectomy) approach. Histopathology confirmed the mass to be a sub-mucosal uterine leiomyoma. She has been followed up for 12 months without complaints.
Conclusion: We have presented a young woman with an unusual non-puerperal, total and chronic uterine inversion as a result of uterine leiomyoma managed successfully by a combined abdominal and vaginal approach.
Keywords: Uterine inversion, Submucosal leiomyoma, Hysterectomy, Good outcome
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