Korean J Obstet Gynecol.  2011 Feb;54(2):119-122. 10.5468/KJOG.2011.54.2.119.

Pelvic organ prolapse and uterine inversion: A case report and literature review

• Sun JG
• Moon JP
• Cheon JK
• Gu JY
• Kim BS
• Bae YY
• Kee KS

• KMID: 2037503
• DOI: http://doi.org/10.5468/KJOG.2011.54.2.119

Abstract

Non-puerperal uterine inversion is a rare clinical problem with only 150 cases reported. It usually results from a tumor implanted on fundus of the uterus. Uterine inversion associated with pelvic organ prolapse (POP) is extremely rare with only 1 case reported. A 74-year-old multiparous menopausal women was admitted to our hospital with the following condition: purulent vaginal discharge, voiding difficulty, lower abdominal discomfort, vaginal bleeding, protruding vaginal mass and POP. She was diagnosed as a POP with uterine inversion. After a posterior hysterotomy, vaginal hysterectomy, bilateral salpingoophorectomy and colpocleisis was performed and the pathological examination revealed a pyometra. We report a rare case of uterine inversion associated with POP and pyometra with a brief review of literature.

Keyword

Non-puerperal uterine inversion; Pelvic organ prolapse; Pyometra

MeSH Terms

Aged
Female
Humans
Hysterectomy, Vaginal
Hysterotomy
Pelvic Organ Prolapse
Pyometra
Uterine Hemorrhage
Uterine Inversion
Uterus
Vaginal Discharge

Figure

• 

  Fig. 1 View obtained at physical examination; The prolapsed structure, 18 cm in length, consisted of the vagina (*) and the inverted endometrium (#).

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  Fig. 2 Sagittal image of pelvic cavity on abdominopelvic computed tomography; a U-shaped uterine cavity (*), distended bladder (#) and small bowel herniation (x).

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  Fig. 3 View obtained after posterior hysterotomy; both tubes (*), round (x) and ovarian ligament (#).

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