Incomplete Nonpuerperal Uterine Inversion in an Adolescent Girl: A Case Report

IF 1.8 4区医学 Q3 OBSTETRICS & GYNECOLOGY Journal of pediatric and adolescent gynecology Pub Date : 2025-02-04 DOI:10.1016/j.jpag.2025.01.174

Shaojie Zhao MD , Hua Yuan MD , Xinkai Zhao MSc , Juanjuan Han MSc, Liyan Gao MSc, Jingyao Wang MSc, Lin Zheng MSc, Hongying Yu MSc, Gulijianati Maowulieti MSc

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Abstract

Background

Nonpuerperal uterine inversion (NPUI) is particularly rare and presents a significant diagnostic challenge. This case report describes the youngest case of incomplete NPUI, noteworthy due to the unidentified factor that triggered the uterine inversion.

Case

This case report presents a retrospective analysis of a 19-year-old female patient diagnosed with incomplete uterine inversion, the main symptoms of which were vaginal bleeding, abdominal pain. Following hemostasis and broad spectrum antibiotics, the diagnosis of NPUI was confirmed through physical examination and supplementary examinations (ultrasonography and magnetic resonance imaging (MRI)). Surgical intervention involved transvaginal manual reduction, balloon hysteropexy and bilateral round ligament shortening via single-port laparoscopy.

Summary and conclusion

The multidisciplinary treatment approach employed in this case offers a novel therapeutic perspective for the treatment and management of NPUI. This report emphasizes the importance of accurate diagnosis and customized treatment strategies for NPUI.

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少女不完全非产褥期子宫内翻1例。

背景：非产褥期子宫内翻（NPUI）特别罕见，并提出了重大的诊断挑战。本病例报告描述了最年轻的不完全性NPUI病例，值得注意的是由于不明因素引发子宫内翻。病例：本病例报告回顾性分析1例19岁女性不完全性子宫内翻患者，主要症状为阴道出血、腹痛。在止血和广谱抗生素治疗后，通过体格检查和辅助检查（超声和磁共振成像（MRI））确认NPUI的诊断。手术干预包括经阴道手工复位，球囊子宫切除术和单孔腹腔镜双侧圆形韧带缩短。摘要与结论：本病例采用的多学科治疗方法为NPUI的治疗和管理提供了新的治疗视角。本报告强调了NPUI准确诊断和个性化治疗策略的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pediatric and adolescent gynecology 医学-妇产科学

CiteScore

3.90

自引率

11.10%

发文量

251

审稿时长

57 days

期刊介绍： Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.