Acute uterine inversion following an induced abortion

Abstract

Acute uterine inversion is a rare and potentially life‐threatening obstetric emergency. Its occurrence as a result of a mid‐trimester abortion is an even rarer consequence. We report a case of a 32‐year‐old woman who presented with complete acute uterine inversion and hemorrhagic shock following an incomplete medical abortion at 14 weeks of gestation. Our attempts at non‐operative reversal of the inversion failed. Therefore, we resorted to the manual replacement of the uterus via laparotomy without using surgical instruments or an incision in the cervical ring. The laparotomic manual replacement served as a successful alternative with minimal immediate or long‐term morbidity that may have resulted from trauma and scarring of the uterus.

Acute puerperal uterine inversion with successful manual transvaginal repositioning: A case report

“…A 14-year retrospective study suggests that transabdominal ultrasound confirmation of placental abruption may help prevent postpartum uterine inversion. [23] If these measures are ineffective, immediate surgical repositioning should be performed, including open manual repositioning, [24,25] laparotomy, and laparoscopic surgery. Operative procedures used include Huntington procedure, Haultain procedure, Kustner approach, etc, and some patients may need to undergo hysterectomy.…”

“…If these measures are ineffective, immediate surgical repositioning should be performed, including open manual repositioning, [24,25] laparotomy, and laparoscopic surgery. Operative procedures used include Huntington procedure, Haultain procedure, Kustner approach, etc, and some patients may need to undergo hysterectomy.…”

Letter to “Acute uterine inversion following an induced abortion”

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Dear Editor, Swarray-Deen et al 1 reported manual repositioning of acute uterine inversion under laparotomy. After repositioning, acute reinversion sometimes occurs.

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