SUB MUCOUS FIBROID: A RARE CAUSE FOR ACUTE INVERSION OF NONPUERPERAL UTERUS

Anju Singh, Bharti Goel, Navneet Takkar, Anju Huria

Abstract


With the advancement in obstetric care non-puerperal inversion of uterus is rarely

 

seen in today’s practice. Chronic non-puerperal inversion is commonly associated

 

 with uterine polyp or sub mucus fibroid with fundal attachment. So far anterior

 

wall sub mucus fibroid has not been  implicated to cause acute inversion of uterus.

 

We present two cases of acute inversion of nonpueperal uterus due to sumucous

 

fibroid .

 

A 40 years old multipara, presented to our gynecological emergency  in a state of

 

shock with complaint of something coming out and excessive bleeding per vagina

 

for one day. Clinical examination suggested severe anemia and a sub mucous

 

fibroid causing acute inversion of uterus. After resuscitation she underwent vaginal

 

myomectomy and repositioning of the uterus by Johnson’s method. This was

 

followed by abdominal hysterectomy. The cut section of specimen showed pedicle

 

of sub mucous fibroid arising from anterior wall of uterus.Another case was similar

 

case in which young female of 29 years presented with acute inversion due to

 

fundal fibroid .She was mananged  by  myomectomy  from vaginal route and

 

reposition of uterus by Johnsons method.


Keywords


Anterior wall fibroid, acute inversion, non-puerperal uterus

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