Chronic Uterine Inversio due to Myoma Geburt

Bobby Indra Utama, SpOG(K)(1*)

(1) Sub Division of Urogynecology, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(*) Corresponding Author

DOI: https://doi.org/10.25077/aoj.4.1.110-113.2020

Abstract


Background: Uterine inversion is a rare obstetric emergency but potentially serious complication of labour. This disease characterized by severe pain and can cause life threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. There for, early diagnosis and management of this condition is desirable.

Objective: Report on the management of chronic uterine inversion due to myoma geburt

Methods: Case report

Case: A 46 years old patient was admitted to the gynaecology ward of Dr. M. Djamil Central General hospital with slight bleeding from vagina since 1 month ago with 2-3 pieces of underware dark-red colored, with pain. Bleeding from the vagina often recurs. There was a mass revealed from vagina with size as big  as baby’s head. The mass  had pus and necrotic tissue.

Conclusion: Uterine inversion is an serious obstetric complication due to life threaten of the patient. Its low incidence leads to scarce experience in solving this kind of situation. There are some risk factors or mechanism as an underlying etiology of uterine inversion. The authors concluded that the presence of myoma geburt can be assosiated with the chronic uterine inversion. Surgical approach by eksterpation of myoma geburt with  total hysterectomy can be the right procedure. Therefore, it is essential to keep in mind this diagnosis in all cases of vaginal bleeding.

Keywords: uterine inversion; myoma geburt

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References


Eddaoudi C, Grohs MA, Filali A. Uterine inversion: about a case. Pan Afr Med J. 2018; 29 (99).

Rui Filipe ML et all. 2014. Total and acute uterine inversion after delivery: a case report. J Med Case Rep. 2014; 8: 347.

Dwivedi S, Gupta N, Mishra A, Pande S, Lal P. Uterine inversion: a shocking aftermath of mismanaged third stage of labour. Int J Reprod Contracept Obstet Gynecol. 2013;2(3):292–5.

Witteveen T, Van Stralen G, Zwart J, Van Roosmalen J. Puerperal uterine inversion in the Netherlands: a nationwide cohort study. Acta Obstet Gynecol Scand. 2013;92:334.

Pauleta R, Rodrigues R, Melo A, Graça L. Ultrasonographic diagnosis of incomplete uterine inversion. Ultrasound Obstet Gynecol. 2010;36:260.

Lascarides E, Cohen M. Surgical management of nonpuerperal inversion of the uterus. Obstet Gynecol. 1968;32:376–81.


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