Korean J Obstet Gynecol.  2007 Feb;50(2):380-383.

A case of uterine inversion resulted from prolapse of huge pedunculated uterine submucosal leiomyoma

• Song MJ
• You SH
• Suh MJ
• Kook IY
• Yoon JH

Abstract

Uterine leiomyomas are the most common uterine tumors. They are estimated to be present in approximately 20% of all women of reproductive age. They may be present in subserosal, intramural, or submucosal in location within the uterus, or located in the cervix, in the broad ligaments, or on a pedicle. Many studies report that the malignant potential of a preexisting uterine leiomyoma is extremely rare, occuring in less than 0.5%. Uterine leiomyomas may cause a range of syptoms, for example, severe anemia from abnormal uterine bleeding, dysmenorrhea, constipation from rectosigmoid compression, dysuria, frequency, residual sensation due to bladder compression. Patients with those symptoms or "cancer phobia" should be treated. Rare but severe symptoms associated with uterine leiomyomas are rectosigmoid compression, with intestinal obstruction, thrombophlebitis of lower extremities from venous stasis, polycythemia, ascites, severe pain from torsion and infection of prolapsed pedunculated submucosal myoma and uterine inversion from prolase of pedunculated submucosal leiomyoma. Now we report a rare case of uterine inversion resulted from prolapse of huge pedunculated uterine submucosal leiomyoma, which caused hypovolemic shock due to massive uterine bleeding.

Keyword

Huge submucosal leiomyoma; Prolapse; Uterine inversion

MeSH Terms

Anemia
Ascites
Broad Ligament
Cervix Uteri
Constipation
Dysmenorrhea
Dysuria
Female
Humans
Intestinal Obstruction
Leiomyoma*
Lower Extremity
Myoma
Polycythemia
Prolapse*
Sensation
Shock
Thrombophlebitis
Urinary Bladder
Uterine Hemorrhage
Uterine Inversion*
Uterus