Non-puerperal uterine inversion due to submucous myoma in a young woman: A case report

被引：23

作者：

De Vries M. ^{[1
]}

Perquin D.A.M. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynaecology, Medical Center Leeuwarden

来源：

Journal of Medical Case Reports | / 4卷 / 1期

关键词：

Endometrial Carcinoma; Rhabdomyosarcoma; Myoma; Uterine Rupture; Endometrial Stromal Sarcoma;

D O I：

10.1186/1752-1947-4-21

中图分类号：

学科分类号：

摘要：

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. © 2010 de Vries and Perquin; licensee BioMed Central Ltd.

引用

共 10 条

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