Non-puerperal inversion of the uterus caused by leiomyosarcoma: A case report and clinical management


BÜYÜKKURT S., Vardar M. A. , Zeren H. , Ozgunen F. T.

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, vol.33, no.3, pp.402-406, 2007 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 33 Issue: 3
  • Publication Date: 2007
  • Doi Number: 10.1111/j.1447-0756.2007.00546.x
  • Title of Journal : JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
  • Page Numbers: pp.402-406
  • Keywords: leiomyosarcoma, uterine inversion, PUERPERAL UTERINE INVERSION, MIXED MULLERIAN TUMOR, SARCOMA, ASSOCIATION, CORPUS

Abstract

Uterine inversion is a rare complication of the postpartum period, but it is an even rarer complication of the non-puerperal period. A 49-year-old nulliparous woman was admitted to the hospital with the following complaints: abnormal vaginal bleeding, pain, anuria and a mass protruding from the vulva. The mass was removed by twisting and a laparotomy was required for massive bleeding due to the inversion. The diagnosis of complete inversion was made during the laparotomy. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed and the pathological examination revealed a leiomyosarcoma. Uterine inversion in the non-puerperal period is an extremely rare event and it should be kept in mind that the cause of the inversion may be a malignant disease, like leiomyosarcoma.