Spontaneous Restoration of Unrecognized Uterine Inversion

Hyun-Hwa Cha; Won Joon Seong

doi:10.14734/kjp.2015.26.1.78

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Cha and Seong: Spontaneous Restoration of Unrecognized Uterine Inversion

Case Report

Korean J Perinatol 2015;26(1):78-81.

Published online: 20 March 2015

DOI: https://doi.org/10.14734/kjp.2015.26.1.78

Spontaneous Restoration of Unrecognized Uterine Inversion

Hyun-Hwa Cha, M.D., Won Joon Seong, M.D., Ph.D.

Department of Obstetrics and Gynecology, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea

Correspondence to: Won Joon Seong, M.D., Ph.D., Department of Obstetrics and Gynecology, Kyungpook National University Hospital, Kyungpook National University School of Medicine, 130 Dongdeok-ro, Jung-gu, Daegu 700-710, Korea Tel: +82-53-420-5724, Fax: +82-53-423-7905 E-mail: wjseong@knu.ac.kr

Received 17 December 2014 Revised 4 March 2015 Accepted 18 March 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of unrecognized uterine inversion was restored spontaneously without surgical intervention. Initially, the case was diagnosed as uterine atony and not uterine inversion and was managed successfully with uterine artery embolization. However, a partial uterine inversion was detected on a subsequent scheduled pelvic examination. Fortunately, her uterus was completely restored without any surgical intervention on eighth week after delivery.

Keywords: Uterine inversion, Postpartum hemorrhage, Uterine artery embolization

References

1. Kaya B, Tuten A, Celik H, Misirlioglu M, Unal O. Noninvasive management of acute recurrent puerperal uterine inversion with Bakri postpartum balloon. Arch Gynecol Obstet. 2014; 289:695–6.

2. Tews G, Ebner T, Yaman C, Sommergruber M, Bohau-militzky T. Acute puerperal inversion of the uterus-treatment by a new abdominal uterus preserving approach. Acta Obstet Gynecol Scand. 2001; 80:1039–40.

3. Achanna S, Mohamed Z, Krishnan M. Puerperal uterine inversion: A report of four cases. J Obstet Gynaecol Res. 2006; 32:341–5.

4. Robson S, Adair S, Bland P. A new surgical technique for dealing with uterine inversion. Aus N Z J Obstet Gynaecol. 2005; 45:250–1.

5. Tank Parikshit D, Mayadeo Niranjan M, Nandanwar YS. Pregnancy outcome after operative correction of puerperal uterine inversion. Arch Gynecol Obstet. 2004; 269:214–6.

6. Vartan CK. Spontaneous reduction of the inverted uterus. Proc R Soc Med. 1944; 37:428–30.

7. Adesiyun AG. Septic postpartum uterine inversion. Singapore Med J. 2007; 48:943–5.

8. Carberry GA, Pun CD, Dalvie PS. Acute uterine inversion: case report and angiographic features. J Vasc Interv Radiol. 2012; 23:1249–50.

Fig. 1.

MDCT showed enhanced vascularity (asterisks) directed downwards along the inverted uterine musculature. The uterine fundus inverted into the level of the cervix (arrows). MDCT; multi-detector computed tomography.

Fig. 2.

Ultrasonography revealed the inverted uterus. The arrow indicates the irregular uterine fundus.

Fig. 3.

Ultrasonography showed the normal uterine fundus (arrow).

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