[Puerperal uterine inversion with covered uterine rupture].

Uterine inversion is a rare complication of the postpartum period which can occur in various degrees. The three key symptoms for diagnosis are pain, cardiovascular shock and vaginal bleeding combined with corresponding vaginal and uterine signs of an inversion. Early diagnosis is one of the most important factors determining the outcome of disease. The case of an uterine inversion, caused by a covered rupture of the uterine wall after a cesarean section, is given as an example to discuss predisposing factors and etiologic factors as well as therapy of uterine inversion. As uterine inversion is a rare event, it makes sense and seems to be necessary that new data are presented and discussed in the literature from time to time, especially regarding the cases of inversion in combination with uterine rupture after cesarean section.