The primary diagnosis was endometrial carcinosarcoma combined with inversion of the uterus. For treatment, a laparotomy was planned.
Inversion of the uterus is a rare condition which is an obstetric emergency and a diagnostic challenge for gynecologists.
(7.) Druzon ML, Platt LD: Acute puerperal inversion of the uterus
. Am J ObstetGynaecol 1981;141:187.
Stage-1: Inversion of the uterus
is intrauterine or incomplete.
These include reducing contractions in a woman with tachysystole of the uterus due to pitocin or for intrauterine resuscitation, adjunct to external cephalic version, relaxing an inverted uterus or as an adjunct to managing inversion of the uterus
, transporting a patient with contractions from one location to another, and rarely when delivering a second twin if the uterus needs to be relaxed.
Causes of postpartum hemorrhage include uterine atony, retained placental products, genital laceration, inversion of the uterus
, and coagulation disorders.
First Degree: Inversion of the uterus
is intrauterine, fundus remains within the cavity.
On a very rare occasion, even if the conception occurs, chances of pain, malpresentation of the foetus, need for caesarean delivery, intra or post-partum haemorrhage, and inversion of the uterus
are much common in pregnancy with sub-mucous myoma.
The blood loss depends upon the time taken from the inversion of the uterus
and its reversal and the more increase in the time interval, will lead to serious hemodynamic instability.
stage 4: inversion of the uterus
and the vaginal wall through the vulva.
The findings were as follows: uterus with a submucosal fibroid of 10cm x 8cm, with probable inversion of the uterus
prolapsed outside the vagina.