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Case Report
Non-puerperal uterine inversion due to submucosal fibroid in a nulliparous woman: A case report
1 Department of Obstetrics and Gynecology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
2 Senior OBGY Resident, National Guard Health Affair, Jeddah, Saudi Arabia
3 Consultant General OBGYN, National Guard Health Affair, Riyadh, Saudi Arabia
Address correspondence to:
Jawaher Alsahabi
Department of Obstetrics and Gynecology, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426,
Saudi Arabia
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Article ID: 101008Z01JA2019
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How to cite this article
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;10:101008Z01JA2019.ABSTRACT
Introduction: Non-puerperal uterine inversion (NPUI) is an extremely rare condition. Our case is the second reported case in a patient who had never been sexually active. Most reported cases are in multiparous women, with this being the ninth reported case in a nulliparous woman in the past 10 years: 2006–2017.
Case Report: A 45-year-old, nulliparous woman who had never been sexually active presented with significant anemia due to menorrhagia for the past five months. A diagnosis of chronic uterine inversion secondary to a fibroid was made on CT scan. She was managed with a total abdominal hysterectomy with anterior longitudinal incision to release a tight ring around the fibroid and fundus, followed by excision of the myoma. Histopathology revealed a degenerated uterine fibroid.
Conclusion: Non-puerperal uterine inversion is a rare condition that can pose diagnostic and management dilemmas. A high index of suspicion with help from radiological tools is required to make the diagnosis and plan management accordingly. Surgery to correct chronic inversion of the uterus is challenging.
Keywords: Chronic uterine inversion, Non-puerperal, Submucosal fibroid, Uterine fibroid, Uterine inversion
SUPPORTING INFORMATION
Author Contributions
Jawaher Alsahabi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Amal Alsomairi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fawaz Elmuzaini - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthor declares no conflict of interest.
Copyright© 2019 Jawaher Alsahabi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
