Pelvic organ prolapse and uterine inversion: A case report and literature review.

Sun, Jin Gyu; Moon, Jong Pil; Cheon, Jun Kong; Gu, Jin Young; Kim, Byoung Seon; Bae, You Young; Kee, Kwang Soo

doi:2011.54.2.119

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(2):119-122.
DOI: https://doi.org/10.5468/KJOG.2011.54.2.119 Published online February 1, 2011.

Pelvic organ prolapse and uterine inversion: A case report and literature review.

Jin Gyu Sun, Jong Pil Moon, Jun Kong Cheon, Jin Young Gu, Byoung Seon Kim, You Young Bae, Kwang Soo Kee

¹Department of Obstetrics and Gynecology, Kwangju Christian Hospital, Gwangju, Korea. drsunsuh@hotmail.com
²Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, Gwangju, Korea.

Abstract

Non-puerperal uterine inversion is a rare clinical problem with only 150 cases reported. It usually results from a tumor implanted on fundus of the uterus. Uterine inversion associated with pelvic organ prolapse (POP) is extremely rare with only 1 case reported. A 74-year-old multiparous menopausal women was admitted to our hospital with the following condition: purulent vaginal discharge, voiding difficulty, lower abdominal discomfort, vaginal bleeding, protruding vaginal mass and POP. She was diagnosed as a POP with uterine inversion. After a posterior hysterotomy, vaginal hysterectomy, bilateral salpingoophorectomy and colpocleisis was performed and the pathological examination revealed a pyometra. We report a rare case of uterine inversion associated with POP and pyometra with a brief review of literature.

Key Words: Non-puerperal uterine inversion, Pelvic organ prolapse, Pyometra