Work

Subacute puerperal uterine inversion secondary to a large uterine myoma: a case report

Year: 2025

Type: article

Abstract: Uterine inversion is a life-threatening obstetric emergency characterized by the turning inside out of the uterine fundus into the endometrial cavity or beyond the cervix. Common risk factors include fundal pressure, cord traction, placental disorders, and uterine atony. We report a rare case of subacute puerperal uterine inversion caused by a giant prolapsing submucosal leiomyoma in a 36-year-old woman who presented on postpartum day 19 with fever, abdominal pain, and prolapse of a vaginal mass. Imaging revealed a large submucosal myoma and grade I uterine inversion. Initial manual reduction failed. Successful management was achieved via laparotomy, with myomectomy through a uterine incision, uterine restoration, and intrauterine balloon tamponade.A large submucosal myoma can be a significant risk factor for late puerperal uterine inversion. Timely diagnosis using magnetic resonance imaging and individualized surgical intervention are crucial for successful anatomical correction and fertility preservation.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf1016

Authors: Juan Yang, Shilin Zhong, Wei Cheng, Yuqing Deng, Ying Wang, Yuzhen Liu

Institutions: Guangdong Medical College, Hong Kong University of Science and Technology, Peking University Shenzhen Hospital

Language: English

Topic: Uterine Myomas and Treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000