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American Journal of Medical Case Reports. 2013, 1(1), 9-11
DOI: 10.12691/AJMCR-1-1-4
Case Report

Subacute Puerperal Third Degree Uterine Inversion- A Rare Case

Dr Swati Agrawal1, 2, , Dr Kumar Jayant3, Dr Susheela Khoiwal4 and Dr Rajendra Agrawal2

1Department of Obs & Gynae, M. S R. N. T Medical College, Udaipur, Rajasthan, India

2Department of Surgery, Sudha Hospital and Medical Research Center, Kota, Rajasthan, India

3Department of Surgery, M.S. PGIMER Chandigarh, Sudha Hospital and Medical Research Center, Kota, Rajasthan, India

4Department of Obs & Gynae, RNT Medical College, Udaipur, Rajasthan, India

Pub. Date: December 11, 2013

Cite this paper

Dr Swati Agrawal, Dr Kumar Jayant, Dr Susheela Khoiwal and Dr Rajendra Agrawal. Subacute Puerperal Third Degree Uterine Inversion- A Rare Case. American Journal of Medical Case Reports. 2013; 1(1):9-11. doi: 10.12691/AJMCR-1-1-4

Abstract

Acute uterine inversion is a life threatening and unpredictable obstetric emergency which if ignored can lead to severe haemorrhage and shock which may be out of proportion to haemorrhage. When managed promptly and aggressively, uterine inversion can result in minimal maternal morbidity and mortality. Incidence of puerperal uterine inversion greatly varies in literature ranging from 1:2500 to 1:20000. If the condition is promptly recognized before incarceration, manual repositioning of the uterus may be successful. However in neglected uterine inversion, incarceration may occur due to constriction ring formation, necessitating surgical intervention. Here we present a case of neglected subacute uterine inversion managed by Haultain`s repair.

Keywords

uterine inversion, obstetric emergency, Haultain method

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  You WB, Zahn CM. Postpartum Hemorrhage: Abnormally Adherent Placenta, Uterine Inversion, and Puerperal Hematomas. Clinical Obstetrics and Gynecology. 2006; 49(1):184-97.
 
[2]  Mirza FG, Gaddipati S. Obstetric Emergencies. Seminars in Perinatology. 2009; 33: 97-103.
 
[3]  Coates T. Midwifery and obstetric emergencies. In: Fraser DM, MA C, editors. Myles 
Textbook for Midwives. 15th ed. London: Churchill Livingstone; 2009. p. 625-47.
 
[4]  Dali SM, Rajbhandadari S, Shrestha S. Puerperal inversion of the uterus in Nepal: case reports and review of literature. J ObstetGynaecol Res 1997; 23:319-25.
 
[5]  Druzon ML, Platt LD: Acute puerperal inversion of the uterus. Am J ObstetGynaecol; 1981; 141: 187.
 
[6]  Achanna S, Mohamed Z, Krishnan M. Puerperal uterine inversion: a report of four cases. Journal of Obstetric and Gynaecology Research 2006; 32 (3): 341-345.
 
[7]  Harbinder S, Greenspoon JS, Platt LD, Paul RH. Journal of reproductive medicine 1989; 34 (2): 173-177.
 
[8]  Lago J. Presentation of acute uterine inversion in the emergency departement. Am J Emerg Med. 1991; 9: 239-42.
 
[9]  Chambrier C, Zayneh E, Pouyau A, Pacome JP, Bouletreau P. Uterine inversion: an anesthetic emergency. Ann FrAnesthReanim. 1991; 10: 81-3.
 
[10]  Miras T, Collet F, Seffert P. Acute puerperal uterine inversion: two cases. J GynecolObstetBiolReprod (Paris) 2002; 31: 668-71.
 
[11]  Hostetler DR, Bosworth MF. Uterine inversion: a life threatening obstetric emeregency. Journal of the American board of family practice 2000; 13:120-123.
 
[12]  Johnson A. A new concept in the replacement of the inverted uterus and a report of nine cases. Am J ObstetGynaecol 1949; 57:557-562.
 
[13]  Rocconi RH, Warner K, Chiang S. Postmenopausal uterine inversion associated with endometrial polyps. Obstetrics &gynaecology 2003; 102: 521-3.
 
[14]  Macleod D, Howkins J. Operations to correct axial displacements and inversion of the uterus. In: Macleod D, Howkins J, editors. Bonney’s Gynaecological Surgery. 7th ed. London: Cassel 1964; 458-70.