Inversion of Uterus - Presenting as a Complication of Abortion

Begum, Nazneen; Ganguly, Shikha; Anwer, Begum Rokeya; Islam, Ferdousi

doi:10.3329/bjog.v29i1.30471

Cited by 3 publications

(4 citation statements)

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“…haemorrhage (PPH) with or without shock, requiring blood transfusion, disseminated intravascular coagulation and multi-organ damage complicating major PPH, hysterectomy from intractable haemorrhage, tissue necrosis and damage to the bladder or urethra, especially in resource-poor settings. [1][2][3][4][5][10][11][12][13][14][15] The reported incidence of uterine inversion varies widely between 1 in 2,000 to 1 in 50,000 deliveries, reflecting variations in the management of the third stage of labour. [1] The incidence has remarkably reduced with the advent of active management of the third stage of labour.…”

Section: Annals Of Health Research Volume 8 Issue No 1 2022__________...mentioning

confidence: 99%

“…Whereas many cases of puerperal uterine inversion following vaginal or caesarean delivery have been reported, only a few cases of postabortion inversion have been documented in the literature. [4,[11][12][13] In our centre, available hospital records show that this is the first documented case of uterine inversion complicating unsafe abortion in over 15 years. The uterine inversion in the index case may have resulted from overzealous traction of an adherent placental tissue by the TBA.…”

Section: Annals Of Health Research Volume 8 Issue No 1 2022__________...mentioning

confidence: 99%

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Acute Uterine Inversion Complicating Mid-Trimester Unsafe Abortion in a Teenage Nigerian Girl

Nyeche¹,

Ubom²

2022

Ann Health Res

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Uterine inversion is a rare but life-threatening obstetric emergency, complicating 1 in 2,000 to 1 in 50,000 deliveries. Very rarely, this condition also complicates unsafe abortion. A case of acute complete (fourth-degree) uterine inversion, with gangrene of the uterus in an 18-year-old nulliparous girl who presented to the Gynaecologic Emergency Unit of the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria, in hypovolemic shock from massive haemorrhage following unsafe mid-trimester termination of unwanted pregnancy is reported. She was adequately resuscitated, and a vaginal hysterectomy was performed. The patient was discharged following an uneventful postoperative period. This case highlights the consequences of the high unmet need for family planning and the restrictive abortion laws in Nigeria, limiting access to effective contraception and safe abortion services, thereby increasing the risk of maternal mortality and morbidity from complications of unsafe abortion

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Section: Annals Of Health Research Volume 8 Issue No 1 2022__________...mentioning

confidence: 99%

Section: Annals Of Health Research Volume 8 Issue No 1 2022__________...mentioning

confidence: 99%

Acute Uterine Inversion Complicating Mid-Trimester Unsafe Abortion in a Teenage Nigerian Girl

Nyeche¹,

Ubom²

2022

Ann Health Res

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“…The incidence varies in different populations, ranging from 1 in 3500 to 20,000 deliveries (3,4). There are only few case reports of uterine inversion after mid trimester abortion (5,6). Though it is a rare event, healthcare workers should be aware and vigilant about this condition because if not timely diagnosed and managed, it can lead to shock and even death.…”

Section: Answermentioning

confidence: 99%

What is your diagnosis?

Khoiwal¹,

Gupta²,

Rupendra³

et al. 2019

J Turkish German Gynecol Assoc

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“…When repositioning of the uterus is not immediate, excessive bleeding can cause haemodynamic instability and shock [1]. Uterine inversion following abortion is extremely rare and only two cases have been reported in the …”

Section: Introductionmentioning

confidence: 99%

Post Abortal Inversion of Uterus. A Unique Case

Kaur¹,

Rk²,

Kaur³

et al. 2017

OGIJ

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Post Abortal Inversion of Uterus. A Unique CaseSubmit Manuscript | http://medcraveonline.com literature till now. We are reporting a rare case of inversion uterus following abortion. Case Report28 years female P3L3A1 admitted in the department of Obst. & Gynae on 1/2/2017 at GMC Patiala, referred from a district hospital with foul smelling mass protruding out of vagina and severe anaemia. She took self-medication in the form of MTP pill on 5/1/2017 at three and half month POG. . She expelled a small fetus followed by off and on excessive bleeding thereafter for 1 month.a. She had all full term normal vaginal deliveries, hospital conducted with last child birth one and half year back following which she had regular menstrual periods. On arrival to gynae emergency of Govt. Medical College, Patiala, Her general condition was poor. Pallor+++, vitals were PR-100/min BP-116/6, RR-29/min, Spo2-98%, U.O.-800 ml clear.b. P/A-Soft, Non Tender, no mass palpable.c. P/V examination revealed a broad, globular, reddish, purple necrotic mass of 7x7 cm coming out of vulva with very offensive smell. Placenta like tissue got separated during examination. A mass of 5x5 cm was lying in the vagina with cervical rim felt higher up around it. There was no active bleeding from surface.d. P/R fundus of the uterus could not be felt a cup like depression was felt. The provisional diagnosis of inversion uterus following abortion was made and findings were confirmed on EUA. It was complete inversion of uterus (Figure 1 & 2).e. Under cover of antibiotics and blood transfusion, hydrostatic reduction using warm saline was done. Case ReportObstet Gynecol Int J 2017, 6(6): 00228 AbstractInversion of uterus following abortion is rare but fatal complications. If reposition is not done it leads to life threatening hemorrhage and shock. Only 2 cases in literature have occurred so far.. Here we are reporting a rare case of inversion uterus following abortion.

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Inversion of Uterus - Presenting as a Complication of Abortion

Abstract: not availableBangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 54-55

Cited by 3 publications

References 1 publication

Acute Uterine Inversion Complicating Mid-Trimester Unsafe Abortion in a Teenage Nigerian Girl

Acute Uterine Inversion Complicating Mid-Trimester Unsafe Abortion in a Teenage Nigerian Girl

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Post Abortal Inversion of Uterus. A Unique Case

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