Work

Reproductive preservation in non-puerperal uterine inversion from adenomyoma: a case report

Year: 2026

Type: article

Abstract: BACKGROUND: Non-puerperal uterine inversion (NPUI) occurs extremely rarely and is typically associated with uterine tumors, but cases of NPUI arising from polypoid adenomyoma are even less common. The non-specific presentation of NPUI often leads to delayed diagnosis, and existing fertility-preserving surgeries lack tailoring to polypoid adenomyoma's features. CASE PRESENTATION: A 32-year-old nulliparous Asian woman presented with heavy menstrual bleeding, a prolapsing vaginal mass, and severe anemia (Hemoglobin 32 g/L). Magnetic resonance imaging confirmed NPUI. Surgical management involved vaginal traction for precise lesion localization, Haultain's procedure for uterine repositioning, and layered suturing for repair. Histopathology identified a polypoid adenomyoma. Follow-up demonstrated resolution of symptoms and return to normal menstruation. CONCLUSION: This optimized surgical strategy provides replicable details and references for the fertility-preserving management of rare NPUI.

Source: Journal of Medical Case Reports

DOI: 10.1186/s13256-026-05990-4

Authors: Zhen-Xuan Zhu, Chang-Zhu Pei, Ming Li, Xiao-Xing Song, Hao Xu

Institution: Lianyungang Maternal and Children’s 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: $2,890