Postpartum Prolapsed Leiomyoma with Uterine Inversion Managed by Vaginal HysterectomyReport as inadecuate

Postpartum Prolapsed Leiomyoma with Uterine Inversion Managed by Vaginal Hysterectomy - Download this document for free, or read online. Document in PDF available to download.

Case Reports in Obstetrics and Gynecology - Volume 2014 2014, Article ID 435101, 4 pages -

Case ReportDepartment of Obstetrics and Gynecology, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA

Received 9 June 2014; Revised 10 September 2014; Accepted 1 October 2014; Published 14 October 2014

Academic Editor: Michael Geary

Copyright © 2014 Kelly L. Pieh-Holder et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Uterine inversion is a rare, but life threatening, obstetrical emergency which occurs when the uterine fundus collapses into the endometrial cavity. Various conservative and surgical therapies have been outlined in the literature for the management of uterine inversions. Case. We present a case of a chronic, recurrent uterine inversion, which was diagnosed following spontaneous vaginal delivery and recurred seven weeks later. The uterine inversion was likely due to a leiomyoma. This late-presenting, chronic, recurring uterine inversion was treated with a vaginal hysterectomy. Conclusion. Uterine inversions can occur in both acute and chronic phases. Persistent vaginal bleeding with the appearance of a prolapsing fibroid should prompt further investigation for uterine inversion and may require surgical therapy. A vaginal hysterectomy may be an appropriate management option in select populations and may be considered in women who do not desire to maintain reproductive function.

Author: Kelly L. Pieh-Holder, Heidi Bell, Tana Hall, and James E. DeVente



Related documents