Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Non-puerperal uterine inversion due to submucous myoma in a young woman: a case report | de Vries and Perquin Journal of Medical Case Reports 2010 4 21 http content 4 1 21 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Non-puerperal uterine inversion due to submucous myoma in a young woman a case report Marjolijn de Vries Denise Arlette Maria Perquin Abstract Introduction Inversion of the uterus is an uncommon complication of the puerperium and it is an even rarer complication of the non-puerperal period. A submucous myoma is mostly the cause of the non-puerperal inversion but diagnosis can be difficult. In young women non-puerperal uterine inversion is likely associated with a malignancy. Case presentation A 19-year-old nulliparous woman presented with abnormal vaginal bleeding dysmenorrhoea and a large mass protruding from her cervix. The mass was interpreted as a prolapsed pedunculated submucosal myoma. After extirpation of the mass by clamping and twisting its pedicle a laparotomy was required under suspicion of a uterine rupture. The diagnosis was confirmed and the patient s uterus could be preserved. Pathological examination revealed a submucous myoma. The uterine inversion happened when the uterus retracted to expel the submucous myoma with fundal attachment. By extirpating the stalk the fundus was also resected causing a uterine rupture. Conclusion We report a case of non-puerperal uterine inversion associated with a benign submucous myoma. Non-puerperal uterine inversion is very uncommon in women of reproductive age and is usually caused by a malignant tumour. However uterine-sparing surgery should be attempted in young women until the final pathology is known. Introduction Uterine inversion is a rare complication of delivery. A non-puerperal uterine inversion is even more uncommon with only 150 cases published between 1887 and 2006 1 2 . The diagnosis can be difficult even on physical examination. Most non-puerperal inversions are caused by benign submucous myomas while other causes are .
