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Medical Science Monitor Basic Research


Chronic Total Uterine Inversion in a Young Adult Patient

Unusual clinical course, Challenging differential diagnosis, Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Ozer Birge, Bulent Tekin, Alparslan Merdin, Ozgur Coban, Deniz Arslan

Sudan Department of Obstetrics and Gynecology, Turkey Research and Training Hospital, Nyala, Sudan

Am J Case Rep 2015; 16:756-759

DOI: 10.12659/AJCR.894264

Available online: 2015-10-23

Published: 2015-10-23


BACKGROUND: Chronic uterine inversion is a very rare and life-threatening disease. It requires emergent treatment.
CASE REPORT: We present the case of a 17-year-old patient with chronic uterine inversion. A fragile, bleeding, and soft mass, which filled the entire vagina, was seen during vaginal inspection. There was also a hard and tight cervical ring palpated behind the mass. She was operated on with Haultain technique. She was treated in the first postpartum year. She had normal menstrual bleeding and normal sexual intercourse after 1 month of outpatient control.
CONCLUSIONS: Immediate diagnosis and treatment of isolated chronic inversion decreases maternal morbidity and mortality.

Keywords: Chronic Disease, Adolescent, Chronic Pain - etiology, Diagnosis, Differential, Endosonography, Pain Measurement, Uterine Inversion - diagnosis, Vagina