Non-Puerperal Uterine Inversion Following a Prolapsed Leiomyoma in a CameroonianWoman

Ymélé, Florent Fouelifack; Nana, Paul Alain; Fouedjio, J. H.; Bechem, Efuetnkeng; Mbu, Robinson Enow

doi:10.4303/cmch/c110602

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…Non-puerperal uterine inversions are rare although some reports suggest that they comprise one-sixth of all inversions [2]. There are a number of reported cases of non-puerperal uterine inversion over the past 10 years (2006-2017) [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Reports have included women of different age groups; the youngest patient was 19 years old with a benign submucous fibroid [15], and the oldest was 79-year-old with a mixed mullerian tumor [23].…”

Section: Discussionmentioning

confidence: 99%

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Non-puerperal uterine inversion due to submucosal fibroid in a nulliparous woman: A case report

Alsahabi¹

2019

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Introduction: Non-puerperal uterine inversion (NPUI) is an extremely rare condition. Our case is the second reported case in a patient who had never been sexually active. Most reported cases are in multiparous women, with this being the ninth reported case in a nulliparous woman in the past 10 years: 2006-2017. Case Report: A 45-year-old, nulliparous woman who had never been sexually active presented with significant anemia due to menorrhagia for the past five months. A diagnosis of chronic uterine inversion secondary to a fibroid was made on CT scan. She was managed with a total abdominal hysterectomy with anterior longitudinal incision to release a tight ring around the fibroid and fundus, followed by excision of the myoma. Histopathology revealed a degenerated uterine fibroid. Conclusion: Non-puerperal uterine inversion is a rare condition that can pose diagnostic and management dilemmas. A high index of suspicion with help from radiological tools is required to make the diagnosis and plan management accordingly. Surgery to correct chronic inversion of the uterus is challenging.

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Section: Discussionmentioning

confidence: 99%

“…Presenting symptoms of non-puerperal uterine inversion include pelvic pain, heaviness, profuse vaginal discharges, and heavy vaginal bleeding [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Most women present with chronic symptoms, although Das has reported that 8.6% of non-puerperal inversion has a sudden onset [3].…”

Section: Discussionmentioning

confidence: 99%

Non-puerperal uterine inversion due to submucosal fibroid in a nulliparous woman: A case report

Alsahabi¹

2019

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“…Non-puerperal uterine inversion caused by submucousal leiomyoma has been more frequently reported in African women (4). The clinical diagnosis of non-puerperal uterine inversion is divided into (a) chronic signs including irregular vaginal bleeding, anemia, and a feeling of mass coming down in vagina and (b) acute signs including pelvic pain and heavy vaginal bleeding (5).…”

Section: Introductionmentioning

confidence: 99%

A large uterine leiomyoma leading to non-puerperal uterine inversion: A case report

Teimoori

Esmailzadeh

2017

IJRM

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Background:Although leiomyomas are the most common gynecologic disorders, non-puerperal uterine inversion due to leiomyoma is considered as a rare clinical problem. This condition can occur as a complication of a large sub-mucous leiomyoma that leads to dilate cervix and protrude into vagina. The patient may have several symptoms such as heavy vaginal bleeding, pelvic pain and intermittent acute urinary retention. Case:We presented a 32-year-old nulliparous woman with 17 years of unexplained infertility and diagnosis of a large vaginal prolapsed non-pedunculated leiomyoma. Conclusion:Haultain’s procedure was used to reposition uterine inversion and remove leiomyoma through a posterior incision, using laparotomy.

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Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?

Herath

Patabendige²,

Rashid

et al. 2020

Obstetrics and Gynecology International

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Introduction. Nonpuerperal uterine inversion (NPUI) is a rare clinical problem with diagnostic and surgical challenges. The objective of our study was to review the literature on NPUI and describe causative pathologies, diagnosis, and different surgical options available for treatment. Materials and Methods. A comprehensive literature review was carried out on MEDLINE and Google Scholar databases to look for NPUI using the term “non-puerperal uterine inversion,” and further went through the cross-references of the published articles. Data are published case reports from 1911 to September 2018. Of the 153 published cases, 133 reports had adequate details of surgery for analysis. These reports were analyzed, concerning the clinical presentation, methods of diagnosis, and surgical treatment. Results. Mean age of the women was 46.3 years (standard deviation: 18, N = 153). Leiomyoma remained the commonest (56.2%) aetiology. While malignancies contributed to 32.02% of cases, 9.2% were idiopathic. High degree of clinical suspicion and identification of unique features on ultrasonography and magnetic resonance imaging enable prompt diagnosis. In cases of uncertainty, laparoscopy or biopsy of the mass was used to confirm the diagnosis. Hysterectomy or repositioning and repair of the uterus are the only treatment options available. The surgical methods implemented were analyzed in three aspects: route of surgical access, method of repositioning, and final surgical procedure undertaken. The majority (48.8%) had only abdominal access, while 27.1% had both abdominal and vaginal access. Haultain procedure was the most useful procedure for reposition (18.0%) of the uterus. The majority (39.7%) required abdominal hysterectomy with or without debulking of the tumour abdominally, while 15.0% had uterine repair after repositioning. We reviewed the different surgical techniques and described and proposed a treatment algorithm. Conclusions. Fibroids were the commonest cause for NPUI. Malignancies accounted for one-third of cases. A combined abdominal and vaginal approach, followed by hysterectomy or repair after repositioning, seems to be better for nonmalignant cases.

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Non-Puerperal Uterine Inversion Following a Prolapsed Leiomyoma in a CameroonianWoman

Cited by 4 publications

References 12 publications

Non-puerperal uterine inversion due to submucosal fibroid in a nulliparous woman: A case report

Non-puerperal uterine inversion due to submucosal fibroid in a nulliparous woman: A case report

A large uterine leiomyoma leading to non-puerperal uterine inversion: A case report

Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?

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