A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review

Uterine inversion is a rare condition that refers to the collapse of the fundus into the uterine cavity and occurs in puerperal and non-puerperal conditions. Non-puerperal uterine inversion is particularly infrequent. Diagnosing non-puerperal uterine inversion is often challenging because it resembl...

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Main Authors: Jie Hu, Weili Yang, Fang Zhang, Chunhong Yan
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605241311158
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author Jie Hu
Weili Yang
Fang Zhang
Chunhong Yan
author_facet Jie Hu
Weili Yang
Fang Zhang
Chunhong Yan
author_sort Jie Hu
collection DOAJ
description Uterine inversion is a rare condition that refers to the collapse of the fundus into the uterine cavity and occurs in puerperal and non-puerperal conditions. Non-puerperal uterine inversion is particularly infrequent. Diagnosing non-puerperal uterine inversion is often challenging because it resembles vaginal or cervical tumors and pelvic organ prolapse. Furthermore, this condition alters the anatomical structure of pelvic organs, thereby complicating diagnosis and treatment, and potentially leading to misdiagnosis with grave consequences. We report a case of a postmenopausal woman who presented with irregular vaginal bleeding and dysuria for 2 months. Preoperative enhanced pelvic magnetic resonance imaging suggested a benign tumor combined with uterine inversion, which was subsequently confirmed during surgery. A laparoscopic attempt to reposition the uterus failed, leading to successful repositioning via an abdominal incision and subsequent total abdominal hysterectomy with bilateral salpingo-oophorectomy. A histopathological examination showed a submucosal leiomyoma, which was smaller than that typically reported in other cases. We also conducted a review of previous cases to offer empirical guidance for the diagnosis and treatment of this rare condition.
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spelling doaj-art-33cadfc5f58d4a10b04b6471a6917eb32025-01-20T10:03:25ZengSAGE PublishingJournal of International Medical Research1473-23002025-01-015310.1177/03000605241311158A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature reviewJie HuWeili YangFang ZhangChunhong YanUterine inversion is a rare condition that refers to the collapse of the fundus into the uterine cavity and occurs in puerperal and non-puerperal conditions. Non-puerperal uterine inversion is particularly infrequent. Diagnosing non-puerperal uterine inversion is often challenging because it resembles vaginal or cervical tumors and pelvic organ prolapse. Furthermore, this condition alters the anatomical structure of pelvic organs, thereby complicating diagnosis and treatment, and potentially leading to misdiagnosis with grave consequences. We report a case of a postmenopausal woman who presented with irregular vaginal bleeding and dysuria for 2 months. Preoperative enhanced pelvic magnetic resonance imaging suggested a benign tumor combined with uterine inversion, which was subsequently confirmed during surgery. A laparoscopic attempt to reposition the uterus failed, leading to successful repositioning via an abdominal incision and subsequent total abdominal hysterectomy with bilateral salpingo-oophorectomy. A histopathological examination showed a submucosal leiomyoma, which was smaller than that typically reported in other cases. We also conducted a review of previous cases to offer empirical guidance for the diagnosis and treatment of this rare condition.https://doi.org/10.1177/03000605241311158
spellingShingle Jie Hu
Weili Yang
Fang Zhang
Chunhong Yan
A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review
Journal of International Medical Research
title A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review
title_full A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review
title_fullStr A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review
title_full_unstemmed A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review
title_short A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review
title_sort rare case of chronic complete uterine inversion in a postmenopausal woman a case report and literature review
url https://doi.org/10.1177/03000605241311158
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