Acute complete uterine inversion after controlled cord traction of placenta following vaginal delivery: a case report

Poon, Shi Sum; Chean, Chung Shen; Barclay, Philip; Soltan, Adel

doi:10.1002/ccr3.599

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…Uterine inversion is a rare condition classified as puerperal and nonpuerperal. Puerperal uterine inversion is more common, and occurs immediately after the third stage of labor, or within 24 hours post-partum; it is often associated with trauma while forcing the umbilical cord or the endometrial fundus, when the placenta is not stripped [14]. Non-puerperal uterine inversion occurs more than four weeks postdelivery, and is mostly related to benign myomas and seldom associated with malignancy after 45 years [13].…”

Section: Discussionmentioning

confidence: 99%

Puerperal spontaneous prolapse of large pedunculated uterine submucosal myoma after full-term vaginal delivery

Chen¹,

Cheng²,

Guo³

et al. 2019

Clin. Exp. Obstet. Gynecol.

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Complications of submucosal myomas during pregnancy are rare and can be divided into those occurring during pregnancy, at delivery, and in the puerperium. The authors present two similar cases of unusual complication of submucosal uterine myoma in the puerperium. The two patients were admitted to this department for protruding vaginal mass after full-term vaginal delivery. Each experienced sudden severe abdominal pain, and felt a large vaginal mass after defecation or coughing. Combining gynecological examination and MRI, the authors accurately diagnosed the cases as spontaneous prolapse of large pedunculated uterine submucosal myoma. After antiinfective therapy, the 45-year-old woman underwent total laparoscopic hysterectomy; the second case, a 31-year-old woman was treated by a conservative surgical approach, including partial vaginal myomectomy and elective hysteroscopic myomectomy. This is the first report describing spontaneous prolapse of pedunculated uterine submucosal myoma in the puerperium after full-term vaginal delivery, and MRI played a key role in the diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Puerperal spontaneous prolapse of large pedunculated uterine submucosal myoma after full-term vaginal delivery

Chen¹,

Cheng²,

Guo³

et al. 2019

Clin. Exp. Obstet. Gynecol.

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“…[ 2 ] A high index of clinical suspicion by primary physician or even by a qualified team of paramedics with knowledge of the third stage of labour is paramount for diagnosis. [ 2 3 4 5 6 7 ] The aim of this case report is to reiterate the occurrence of acute uterine inversion after active management of third stage of labour. Undoubtedly, rapid diagnosis and a multidisciplinary approach plays a big role in preventing maternal mortality.…”

Section: Introductionmentioning

confidence: 99%

Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report

Kumari

Singh

Ray

et al. 2022

Journal of Family Medicine and Primary Care

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Acute uterine inversion is a rare life-threatening complication of third stage of labour. In majority of cases, exact aetiology is unknown. It should be strongly suspected when the triad of haemorrhage, shock and severe abdominal pain with bearing down sensation is present after delivery of placenta. It can occur even after active management of third stage of labour. Diagnosis is essentially clinical. Expeditious manual repositioning of uterus and simultaneous liberal use of uterotonics is the management of choice. This was successfully attempted in the present case where a 26-year-old multiparous woman, without any identifiable risk factors, developed acute puerperal uterine inversion after active management of labour. It was observed that quick and accurate clinical judgement and timely intervention can prevent maternal mortality. The role of a multidisciplinary team including primary health care provider, obstetrician, anaesthesiologist and critical care experts has significant effects on outcome especially in intractable cases.

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Obstetric Hemorrhage

Papazian

Kacmar

2017

Advances in Anesthesia

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Acute complete uterine inversion after controlled cord traction of placenta following vaginal delivery: a case report

Cited by 5 publications

References 21 publications

Puerperal spontaneous prolapse of large pedunculated uterine submucosal myoma after full-term vaginal delivery

Puerperal spontaneous prolapse of large pedunculated uterine submucosal myoma after full-term vaginal delivery

Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report

Obstetric Hemorrhage

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