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Chronic Non-Puerperal Uterine Inversion About a Case

2023; Science Publishing Group; Linguagem: Inglês

10.11648/j.jgo.20231105.15

2376-7820

Diakite Sandały, Conte Ibrahima, Camara Fodé Lansana, Camara Soriba Naby, Soumaoro Labilé Togba, Diakité Saikou Yaya, Camara Sokhona, Touré Aboubacar,

Maternal and fetal healthcare

Chronic non-puerperal uterine inversion is an extremely rare complication.Puerperal inversions are reported in 85% of uterine inversion cases.Puerperal uterine inversions are life-threatening due to the cataclysmic delivery hemorrhage they cause.Most reported cases of non-puerperal uterine inversion are due to benign tumors, including leiomyomas.Rarely, a malignant uterine tumor presents as a uterine inversion.Clinical diagnosis is often difficult due to the distorted anatomy.Four anatomical stages are classically described Radical treatment is preferred in the absence of a desire for pregnancy, and is virtually indispensable in the case of 3rd and 4th degree uterine inversion.We report the case of a 42-year-old patient who presented urgently with a stage 3 non-puerperal uterine inversions and cyanosis of the external mass.We indicated sub hysterectomy by vaginal approach.This technique was decided upon intraoperatively in view of the lesion assessment.The authors agree that due to the rarity of this pathology, most cases are operated on without any surgical experience.A rare complication that is difficult to diagnose, acute non puerperal uterine inversion is a medical-surgical emergency that must be considered when a mass is externalized through the vaginal vulva, although in our context, delivery through the uterine cervix is often the hypothesis evoked.