Ultrasound diagnosis of complete uterine inversion in a nulliparous woman

Authors

  • CHING-FEN HU,

    1. Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Kaohsiung, Taiwan
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  • HAO LIN

    1. Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Kaohsiung, Taiwan
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  • Please cite this article as: Hu C-F, Lin H. Ultrasound diagnosis of complete uterine inversion in a nulliparous woman. Acta Obstet Gynecol Scand 2012;91: DOI:10.1111/j.1600-0412.2011.01332.x.

Hao Lin, MD, Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, 123 Ta-Pei Road, Niao Sung District, Kaohsiung City 833, Taiwan.E-mail: haolin@adm.cgmh.org.tw; haolin4237@yahoo.com.tw

Conflict of interest
The authors have stated explicitly that there are no conflicts of interest in connection with this article.

Abstract 

Non-puerperal uterine inversion is an extremely rare event, and the diagnosis is made during vaginal examination or exploratory laparotomy. We report a case of complete uterine inversion which was diagnosed on abdominal ultrasound examination in a 50-year-old nulliparous virgin who was admitted to the hospital because of profuse vaginal bleeding, lower abdominal pain and anuria. The confirmatory diagnosis of complete uterine inversion secondary to a fundal fibroid was made at exploratory laparotomy. Total abdominal hysterectomy was performed, and the pathological examination confirmed its benign nature. Ultrasound evaluation is useful in the diagnosis of non-puerperal uterine inversion.

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