Rattray C A, Parris C N, Chisholm G, Coard K C
Department of Obstetrics and Gynaecology, University of the West Indies, Kingston, Jamaica.
West Indian Med J. 2000 Sep;49(3):245-7.
Complete non-puerperial uterine inversion is rare and when present is usually associated with a prolapsed submucous fibroid. The inversion in this case was associated with a uterine sarcoma in an 88 year old diabetic patient, gravida 13, who presented with a four month history of intermittent vaginal bleeding. She was successfully managed with a total abdominal hysterectomy and some of the difficulties with diagnosis and management are highlighted.
完全性非产褥期子宫内翻罕见,一旦出现通常与黏膜下肌瘤脱垂有关。本例子宫内翻与一名88岁糖尿病患者的子宫肉瘤有关,该患者孕13产,有4个月间歇性阴道出血病史。她通过全腹子宫切除术成功治愈,并强调了诊断和治疗中的一些困难。