Idiopathic Non-Puerperal Uterine Inversion in a Young Female: A Case Report
Abstract
Non-puerperal uterine inversion (NPUI) is an extremely rare condition. Our case is the second, where a young female (adolescent age group) presented with uterine inversion, and is the first without any identifiable cause of uterine inversion. Her chief complaints were chronic menorrhagia, abdominal pain, and episodes of acute urinary retention. Most of the reported cases have identifiable etiology for the inversion. The reporting of this case is worthwhile because of its rarity in such age groups and even without any defined cause (spontaneous occurrence), making the diagnosis of uterine inversion in this condition challenging, particularly in this very young age. In our case, she was initially misdiagnosed as having a cervical polyp clinically and radiologically,
especially on ultrasonography (USG). Finally, it was diagnosed as uterine inversion by magnetic resonance imaging (MRI) of the pelvis and retrospective evaluation of USG. Magnetic resonance imaging (MRI) thus plays a pivotal role in the diagnosis of uterine inversion. Treatment of uterine inversion is either mostly by manual repositioning, and if not possible, surgery is contemplated.
[2] Abid S, Dhaou GB, Abdelmoula G, Smida AB, Abdesslem MRB, Mrad O, et al. Complete non-puerperal uterine inversion caused by uterine hemangioma: about a case report. Pan Afr Med J. 2022 Jun 27;42:156. https://doi.org/10.11604/ pamj.2022.42.156.35583
[3] Moshayedi F, Seidaei HS, Salehi AM. A Case Report of Nonpuerperal Uterine Inversion due to Submucosa Leiomyoma in a Young Virgin Woman. Case Rep Surg. 2022 Aug 16;2022:5240830. https://doi.org/10.1155/2022/5240830
[4] Kesrouani A, Cortbaoui E, Khaddage A, Ghossein M, Nemr E. Characteristics and Outcome in Non-Puerperal Uterine
Inversion. Cureus. 2021 Feb;13(2):e13345. https://doi. org/10.7759/cureus.13345
[5] Guerrouj I, Aichouni N, Haddar L, Abbou W, Arghal M, Afilal I, et al. Magnetic resonance imaging of non-pueperal total uterine inversion due to a leiomyoma. Radiol Case Rep. 2023 Mar 4;18(5):1821-4. https://doi.org/10.1016/j.radcr.2023.01.093
[6] Alsahabi J, Alsomairi A, Elmuzaini F. Non-puerperal uterine inversion due to submucosal fibroid in a nulliparous woman: A case report. Int J Case Rep Images. 2019 Feb 21;10:0-0. https://doi.org/10.5348/101008Z01JA2019CR
[7] Tibrewal R, Goswami S, Chakravorty PS. Non Puerperal Uterine Inversion. J Obstet Gynaecol India. 2012 Aug;62(4):452-3. https://doi.org/10.1007/s13224-011-0099-3
[8] Leconte I, Thierry C, Bongiorno A, Luyckx M, Fellah L. NonPuerperal Uterine Inversion. J Belg Soc Radiol. 2016;100(1):47. https://doi.org/10.5334/jbr-btr.974
[9] Auber M, Darwish B, Lefebure A, Ness J, Roman H. Management of nonpuerperal uterine inversion using a
combined laparoscopic and vaginal approach. Am J Obstet Gynecol. 2011 Jun;204(6):e7-9. https://doi.org/10.1016/j.
ajog.2011.01.024
[10] Herath RP, Patabendige M, Rashid M, Wijesinghe PS. Nonpuerperal Uterine Inversion: What the Gynaecologists
Need to Know? Obstet Gynecol Int. 2020 Jun 1;2020:8625186. https://doi.org/10.1155/2020/8625186
[11] Tibrewal R, Goswami S, Chakravorty PS. Non Puerperal Uterine Inversion. J Obstet Gynaecol India. 2012 Aug;62(4):452-3. https://doi.org/10.1007/s13224-011-0099-3
Files | ||
Issue | Vol 9 No 3 (2024): May-June | |
Section | Case Report(s) | |
DOI | https://doi.org/10.18502/crcp.v9i3.17232 | |
Keywords | ||
Non-puerperal uterine inversion (NPUI) Young female Menorrhagia Magnetic resonance imaging (MRI) Uterine reposition |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |