Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency

Wendel, Michael; Shnaekel, Kelsey L; Magann, Everett F.

doi:10.1097/ogx.0000000000000580

Cited by 33 publications

(45 citation statements)

References 19 publications

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“…The mode of is based upon the management option used; if the woman underwent surgical replacement with an incision over the uterus, cesarean section is a better option (11).…”

Section: Answermentioning

confidence: 99%

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Khoiwal¹,

Gupta²,

Rupendra³

et al. 2019

J Turkish German Gynecol Assoc

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“…The mode of is based upon the management option used; if the woman underwent surgical replacement with an incision over the uterus, cesarean section is a better option (11).…”

Section: Answermentioning

confidence: 99%

What is your diagnosis?

Khoiwal¹,

Gupta²,

Rupendra³

et al. 2019

J Turkish German Gynecol Assoc

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“…Mortality rates following acute uterine inversion were reported by some authors to have been as high as 41%. [5]. During their eight-year observation in the Gynaecologic and Obstetrics Department in Jinnah Postgraduate Medical Centre, Karachi, Pakistan, between 1995 -2002, Hussain et al described 36 cases of acute uterine inversion in 57,036 deliveries that took place in this hospital.…”

Section: Introductionmentioning

confidence: 97%

“…short umbilical cord, placenta in the uterine fundus, chronic uterine mucosa inflammation, sudden or prolonging labour, application of tocolytics, uterine atony, one-horn uterus, and connective tissues diseases [7]. It is claimed that in approximately 50% of cases no specific reason for this complication can be found [5].…”

Section: Introductionmentioning

confidence: 99%

Postnatal inversion of the uterus – management in specific cases.

Michalska¹,

Bojar²,

Borycki³

et al. 2020

Ann Agric Environ Med.

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Inversion of the uterus is defined as the turning inside out of the fundus into the uterine cavity. According to the literature, uterine inversion occurs in 1/20,000 or even 1/1,584 deliveries. Mortality rates following acute uterine inversion were reported by some authors to have been as high as 80%. Therefore, it is very important to make an early diagnosis. The shorter the time between the moment of uterine inversion and its repositioning, the better the results of conservative treatment, and bigger chance of avoiding surgical management. The article presents two cases of patients hospitalised in 2010-2011 in the Gynaecologic and Obstetrics Department of the Regional Polyclinic Hospital in Kalisz, Central Poland, diagnosed with acute uterine inversion in accordance with the applicable classification. Surgical management was applied in one of the patients. The other patient was managed in a conservative manner. Both women were discharged from the hospital in a good general condition.

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“…Subacute puerperal uterine inversion occurs when the uterine fundus collapses into the endometrial cavity between 24 h to 1 month postpartum [ 1 ]. It is a rare gynaecological emergency in practice and literature [ 2 ] but potentially fatal when not diagnosed and treated fast.…”

Section: Introductionmentioning

confidence: 99%

Subacute uterine inversion following an induced abortion in a teenage girl: a case report

2020

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Background Subacute uterine inversion is a very rare complication of mid-trimester termination of pregnancy that should be considered in a situation where unsafe abortion occurs. Case presentation We present a case of subacute uterine inversion complicated by hypovolemic shock following an unsafe abortion in a 17-year-old nulliparous unmarried girl. She presented with a history of collapse, mass protruding per vagina that followed Valsalva, and persistent lower abdominal pain but not vaginal bleeding. This followed her second attempt to secretly induce an abortion at 18 weeks amenorrhea. On examination, she was agitated, severely pale, cold on palpation, with an axillary temperature of 35.8 °C, a tachycardia of 143 beats per minute and unrecordable low blood pressure. The abdomen was soft and non-tender with no palpable masses; the uterine fundus was absent at its expected periumbilical position and cupping was felt instead. A fleshy mass with gangrenous patches protruding in the introitus was palpated with no cervical lip felt around it. We made a clinical diagnosis of subacute uterine inversion complicated with hypovolemic shock and initiated urgent resuscitation with crystalloid and blood transfusion. Non-operative reversal of the inversion failed. Surgery was done to correct the inversion followed by total abdominal hysterectomy due to uterine gangrene. Conclusion Our case highlights an unusual presentation of subacute uterine inversion following unsafe abortion. This case was managed successfully but resulted in significant and permanent morbidity.

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Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency

Abstract: Uterine inversion is a rare but potentially life-threatening obstetrical emergency.

Cited by 33 publications

References 19 publications

What is your diagnosis?

What is your diagnosis?

Postnatal inversion of the uterus – management in specific cases.

Subacute uterine inversion following an induced abortion in a teenage girl: a case report

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