Uterine inversion due to a leiomyoma on postpartum day 41: A case report

Uterine leiomyomas are common tumors in women of reproductive age and are frequently detected during pregnancy. The major complications during pregnancy include abortion, preterm delivery, abruptio placentae, intrauterine growth retardation, dystocia, and postpartum hemorrhage. Little attention is g...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2011-07, Vol.37 (7), p.897-900
Main Authors: Shirota, Kyoko, Ota, Takeharu, Tsujioka, Hiroshi, Miyamoto, Shingo
Format: Article
Language:English
Subjects:
Adult
Female
Fertility Preservation
Humans
leiomyoma
Leiomyoma - physiopathology
Leiomyoma - surgery
Leiomyomatosis - etiology
Leiomyomatosis - surgery
management
postpartum
Postpartum Period
Reconstructive Surgical Procedures
uterine inversion
Uterine Inversion - etiology
Uterine Inversion - rehabilitation
Uterine Inversion - surgery
Uterine Neoplasms - physiopathology
Uterine Neoplasms - surgery
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Summary:Uterine leiomyomas are common tumors in women of reproductive age and are frequently detected during pregnancy. The major complications during pregnancy include abortion, preterm delivery, abruptio placentae, intrauterine growth retardation, dystocia, and postpartum hemorrhage. Little attention is given to uterine leiomyomas postpartum compared to leiomyomas prior to childbirth. In the present case, a 27‐year‐old woman, gravida 1 para 1, presented with massive vaginal bleeding, urinary retention and lower abdominal pain on postpartum day 41. She was diagnosed with uterine inversion due to leiomyoma. After a vaginal myomectomy, the uterus was re‐placed with a combined vaginal and abdominal approach. Because of timely medical intervention, the patient managed to overcome the crisis and her reproductive organs were successfully preserved.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2010.01420.x