Nonpuerperal uterine inversion with a submucosal leiomyoma: A case report

Abstract

Background: Nonpuerperal uterine inversion is a rare gynecological condition that is not preceded by pregnancy. It may be induced by uterine tumors or may be idiopathic. Case presentation: A 28-year-old presented with a vaginal mass associated with urine retention, vaginal bleeding, and an off-white discharge. Pelvic sonography performed earlier revealed uterine procidentia features. On examination under anesthesia, the vaginal mass turned out to be an inverted uterus with a submucosal fibroid. The fibroid was avulsed. Bladder dissection and hysterotomy were performed, and the uterus was reduced into the abdominal cavity. She recovered well postoperatively with complete symptom resolution. Conclusion: Nonpuerperal uterine inversion is a rare and potentially life-threatening condition, which presents with nonspecific symptoms and presents diagnostic and management challenges. Management is usually surgical as conservative measures have been shown to be less effective. Timely diagnosis and management is key in reducing associated morbidity and mortality.